AWANA 2018-2019 Payment

Cubbies: 3 and 4 (potty trained)
Sparks: K-2nd grade
T&T: 3rd-5th grade

Parent/Guardian Name

*

Email

*

This address will receive a confirmation email

Child #1

Child #1 Name:

*

Book

None ($0) Cubbies ($12) Sparks Year 1 Attender ($12) Sparks Year 2 Attender ($12) Sparks Year 3 Attender ($12) T&T ($12)

Amount

Vest (Cubbies and Sparks)

None ($0) Small ($12) Medium ($12) Large ($12) XL ($12) XXL ($12)

Amount

Shirt (T&T)

None ($0) Youth 12 ($18) Youth 14 ($18) Youth 16 ($18) Adult Small ($18) Adult Medium ($18) Adult Large ($18) Adult XL ($18) Adult XXL ($18) Adult XXL ($18)

Amount

Optional Tote

None ($0) Yes ($7)

Amount

Child #2

Child #2 Name

Book

None ($0) Cubbies ($12) Sparks Year 1 Attender ($12) Sparks Year 2 Attender ($12) Sparks Year 3 Attender ($12) T&T ($12)

Amount

Vest (Cubbies and Sparks)

None ($0) Small ($12) Medium ($12) Large ($12) XL ($12) XXL ($12)

Amount

Shirt (T&T)

None ($0) Youth 12 ($18) Youth 14 ($18) Youth 16 ($18) Adult Small ($18) Adult Medium ($18) Adult Large ($18) Adult XL ($18) Adult XXL ($18) Adult XXXL ($18)

Amount

Optional Tote

None ($0) Yes ($7)

Amount

Child #3

Child #3 Name

Book

None ($0) Cubbies ($12) Sparks Year 1 Attender ($12) Sparks Year 2 Attender ($12) Sparks Year 3 Attender ($12) T&T ($12)

Amount

Vest (Cubbies and Sparks)

None ($0) Small ($12) Medium ($12) Large ($12) XL ($12) XXL ($12)

Amount

Shirt (T&T)

None ($0) Youth 12 ($18) Youth 14 ($18) Youth 16 ($18) Adult Small ($18) Adult Medium ($18) Adult Large ($18) Adult XL ($18) Adult XXL ($18) Adult XXXL ($18)

Amount

Optional Tote

None ($0) Yes ($7)

Amount

Child #4

Child #4 Name

Book

None ($0) Cubbies ($12) Sparks Year 1 Attender ($12) Sparks Year 2 Attender ($12) Sparks Year 3 Attender ($12) T&T ($12)

Amount

Vest (Cubbies and Sparks)

None ($0) Small ($12) Medium ($12) Large ($12) XL ($12) XXL ($12)

Amount

Shirt (T&T)

None ($0) Youth 12 ($18) Youth 14 ($18) Youth 16 ($18) Adult Small ($18) Adult Medium ($18) Adult Large ($18) Adult XL ($18) Adult XXL ($18) Adult XXXL ($18)

Amount

Optional Tote

None ($0) Yes ($7)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Cubbies: 3 and 4 (potty trained)
Sparks: K-2nd grade
T&T: 3rd-5th grade

Please Fix the Following

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