2022-2023 Awana Club Registration

Friday Nights, 7:30-9 PM | Welcome to Awana Club.

We use stories and games to show children that learning to walk with God can be FUN!
The first night is Friday, September 9, 2022. We will meet at 7:30 - 9:00 PM.

Contact Patricia Huang @ 317-440-9217 for any questions you might have.

Child Information

Name

*

Birthdate

*

Gender

*

Please select all that apply.

Male Female

Grade

*

Please select all that apply.

3-5 Years Old Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Parent Information

Father's Name

*

Mother's Name

*

Mobile Phone

*

Emergency Contact

*

Emergency Contact Phone

*

Email

*

This address will receive a confirmation email

Address

*

Waiver of Liability, And Photo Release Agreement

Liability Agreement

*

Please select all that apply.

I, the undersigned, agree to waive all claims against the Chinese Community Church of Indianapolis, its leadership, and its members in the event of any injury, sickness, or death resulting from any accident while my child attends Awana Club at CCCI. I also give Chinese Community Church of Indianapolis the irrevocable right to use my child’s picture, portrait, or photograph in all forms and media.

Electronic Signature

*

Description

Friday Nights, 7:30-9 PM

Welcome to Awana Club.

We use stories and games to show children that learning to walk with God can be FUN!
The first night is Friday, September 9, 2022. We will meet at 7:30 - 9:00 PM.

Contact Patricia Huang @ 317-440-9217 for any questions you might have.

Please Fix the Following

Close