AWANA Registration Form (PLEASE PRINT) Name/Nombre__________________________________________ Male______ Female______ Address/Direccion_________________________________________________ Phone/Teléfono_________________________ Phone/Teléfono ___________________________ Age/Edad_______ Grade/Grado_________ Birthdate/Fecha de Nacimiento______________________ Parent/Guardian/Padres o Guardianes_________________________________________________ Parent’s E-Mail _______________________________________________________________ Home Church/Iglesia a que pertenece__________________________________________________ Other Family Members in AWANA/Otros Miembros de la Familia que están en AWANA: Name/Nombre______________________________________ Club/Club___________________ Name/Nombre______________________________________ Club/Club___________________ Date On Time Dues Uniform HB/Bible SS/Church Visitor Other Sections Specials 2016 Sept. 21 Registration Night Sept. 28 Oct. 5 Oct. 12 Oct. 19 Oct. 26 Period 1 Nov. 2 Crazy Hair/Hat – 5 shares Coat/Blanket/Toiletries – 5 sh. Coat/Blanket/Toiletries – 5 sh. Bring a Friend – 10 shares Costume Night – 10 sh./5 sh. Food Drive – 1 sh./10 max Nov. 9 Food Drive – 1 sh./10 max Nov. 16 Count Your Blessings – 5 sh/Dbl.Sh. Nov. 30 Bring an Adult – 10 shares Dec. 7 Dec. 14 2017 Jan. 4 Jan. 11 Period 2 Jan. 18 North Star Flashlight – 5 sh. Christmas Bazaar Pajama Night – 5 sh. Bring a Friend – 10 sh./Dbl. Shares Food Drive – 1 sh./10 max Jan. 25 Food Drive – 1 sh./10 max Feb. 1 Feb. 8 Royalty Night – 5 sh. Feb. 15 Uniform Inspection (No shares) Feb. 22 Sports Night – 5 sh. Mar. 1 Mismatch Night – 5 sh. Period 3 Mar. 8 Mar. 15 Mar. 22 Apr. 5 Apr. 12 Apr. 19 Apr. 26 Period 4 May 3 Red Heart Night – 5 sh. Pocket Scavenger Night – 5 sh. Green Night – 5 sh. Spot Your Leader/Double shares Backwards Night – 5 sh. Car Night – 5 sh. Dress Your Leader – 5 sh. Inside-Out Night – 5 sh./Dbl. Sh. Thank Your Leader – 5 sh.