Martha Lake Covenant Church
2721 164th Street SW, Lynnwood, WA 98037
Phone: (425) 743-2592
Fax: (425) 745-5712
E-mail: mlcc@marthalakecov.org
http://www.marthalakecov.org/awana.htm

Awana Family Registration Form

Awana at Martha Lake Covenant starts on Wednesday, September 14, 2005 at 6:29 PM for children age 3 through grade 6.  Students in grades 7 - 12 meet in the 24-7 Youth Group Sundays 5:00 - 7:00 PM starting on Sunday, September 11, 2005 for games and Bible study with Awana's JV (grades 7-8) and Journey 24-7 (grades 9-12) programs. Our Wednesday Feed-a-Meal program starts September 21.

Returning clubbers earn 5 Awana Bucks for bringing a first-time visitor any club night in September.  Newcomers pay no dues for the first 2 weeks!

Want to avoid long lines your first night???  Register by mail (postmark by Sat Sept 10) so first night check-in will be a breeze!  You can use the form below.  Or, bring the completed form in person.  Dues are $1 per child per week, or you can save by paying the full year's dues of $23 for the first child, $20 for the second, $17 for the third, and $14 for the fourth.  Mail dues (payable to MLCC) and form to the address above.

Parents' names _____________________________________________ Home Phone ______________________
Address __________________________________________________ Other Phones ______________________
City _____________________________________________________ Zip code __________________________
Home church ______________________________________________ Email ____________________________
  
Child's name _____________________________________________ Club (if known) ____________________
Note ____________________________________________________ Birth date ________________________
Email address ______________________________________________ Age ________   Grade ______________
  
Child's name _____________________________________________ Club (if known) ____________________
Note ____________________________________________________ Birth date ________________________
Email address ______________________________________________ Age ________   Grade ______________
  
Child's name _____________________________________________ Club (if known) ____________________
Note ____________________________________________________ Birth date ________________________
Email address ______________________________________________ Age ________   Grade ______________
  
Child's name _____________________________________________ Club (if known) ____________________
Note ____________________________________________________ Birth date ________________________
Email address ______________________________________________ Age ________   Grade ______________
Return to the MLCC home page | Awana main page | Awana forms list
MLCC Form 102 (2005-09-23)