River of Life Christian Church - Clarkston - MI

Wednesdays 6:30-8 p.m.
September 11th-May 21st
Pre-K thru Fifth Grade

AWANA Registration Form

This is a Free Program
Donations can be made to: "River of Life Christian Church" earmark: AWANA

Clubber First Name

Clubber Last Name

Birthdate

Grade

Gender

Medical / Allergies

Special Needs

Club Attending: Check One

Cubbies (3-5 yrs; must be 3 by 08-31-24 & toilet trained)

Sparks (K-2nd Grade)

Truth & Training (3rd-5th; 6th grade optional)

Uniform Size: Can be reused each year. Choose a size if moving to a new club.

Cubbies - S (4), M (5), L (6), XL (12)

Sparks - S (6), M (8), L (10), XL (12)

Truth & Training - S (10), M (12), L (14), Adult Small

Returning Clubbers Only: Handbook completed last year

Parent/Guardian First Name

Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

Home Church

Emergency Contact Name

Phone

Parent/Guardian Signature