Awana Registration, Hickory Creek Community Church

AWANA is currently only offered to children in Kindergarten through 5th Grade. There are two groups: Sparks and T & T. Sparks is for children in Kindergarten through 2nd Grade and T&T is for children in 3rd Grade through 5th Grade.

Please mail $10 registration fee to the address below or bring with you on the first night of AWANA, Tuesday September 6, 2011 from 6:45pm to 8:30pm. You will also be required to sign the registration form when checking in your child on the first night.

Hickory Creek Community Church
10660 Lincoln Highway
Frankfort, IL 60423

For questions, please contact:
Jill Kraiss at-
jillysue825@yahoo.com

AWANA 2011-2012 REGISTRATION

Child's Name:
Child's Birthday:	Age: Grade:
Parent/Guardian E-Mail Address:
Parent/Guardian Name:
Street Address (Apartment #), City, State & Zip Code:
Home Phone Number:
Home Church:
Brought By:
Individuals Authorized To Pick Up Child:
Medical Conditions:
Emergency Contact Phone:
If you would like to request to be on a friend's team, please list his/her name here (limit 1). We will do our best to accommodate all requests.

FOR OFFICE USE ONLY:
Date Registered:
Payement Method:
Team Name/Color:
Leader's Name:

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