Rock Prairie Church » Sparks Club Order Form

Sparks Club Order Form

One Form Per Child
Name
First Last
Birthday
MM slash DD slash YYYY
Grade in School
Parent/ Guardian Name
First Last
Yearly Club Dues Quantity*
Price: $19.00
Handbook Quantity
Price: $15.70
Drawstring Backpack Quantity
Price: $7.85
Total
$0.00
Please send cash or checks to: AWANA 421 Ash Street Tipton IN, 46072 Checks payable to Rock Prairie Church Put AWANA in memo