CBC Preschool
Friday, July 19, 2024
Home Schedule Forms About Us
Fall 2014 Registration Form
          Child's Last Name:
          Child's First Name
          Parent or Guardian Name
          Home Phone:
          Cell Phone:
          E-Mail Address(es)
          Birth Date:
          Age (as of 9/1/14):
          Current School and Grade:
          If not a member of Cumming Baptist, do you attend another church
          If yes, what church
          Medical Information (conditions, allergies, medications, etc.)
          Persons Authorized to pick up child
          T-Shirt Size: (choose 1)
                                   Youth Medium
                                   Youth Large
                                   Adult Small
                                   Adult Medium
                                   Adult Large
                                   Adult X-Large
          How did you hear about CBC Awana (choose 1)
                 church sign
                 word of mouth
                 other (please describe below)

Note: $10 club fee due at first club meeting

 Important Note:  Payment is intended to help with supplies.  It is NOT intended to prevent children from participating.  If funds are not available,
Payment is NOT required in order to register or attend.

click here
for printable waiver form
Important Note:   If you receive an error message after submitting form, there is a problem with the server.  Please try again later.  
If the message persists, please contact the church office.
If you receive a "Thank You" message, your registration has been sent.  if you have not received a confirmation email from the church within 2 business days (Monday-Thursday),
please contact the church office