Caravan Sign-Up

Grace Pointe Community
Church of the Nazarene
meets at Annapolis Area Christian School
109 Burns Crossing Road
Severn, MD 21144
410.987.6777

Participant Information

Please take a few minutes to register each child, 3yrs - 6th grade, seperately (this will require accessing this form for EACH child you are registering). This will help us out greatly. If you have any questions, feel free to email Pastor Robin at pastorrobin@gracepointecommunity.com. We are looking forward to an exciting year of Caravan!!

* First Name

* Last Name

* Birthdate: MM/DD/YYYY

* Grade (or age if not yet in school)

Allergies, special instructions, etc?

Household Information

* Parent Guardian Name(s)

* Relationship (Parent, Grandparent, Aunt/Uncle, etc)

* Address 1

Address 2

* City

* State

* Postal Code

* Home Phone

Cell Phone

* Email Address

* I would like to be a room Mom/Dad/Helper

Yes

No

* I can be a substitute as needed

Yes

No

* I would like to be a Caravan Guide or Helper

Yes

No

Comments:

NEW this year!!! CARAVAN T-SHIRTS!

* Would you like to purchase a Caravan shirt for an additional $9.00?

Yes

No

If yes, I would like size:

Caravan Yearly Fees

* There are suggested fees that we would ask be paid to help cover the cost of scarves, sashes, badges, awards, activities, supplies, etc. for each child. Below is a list of fees.

My child is 3, 4 or 5 yrs old (or 6 and in Kindergarten) and I agree to pay $8.00 to help off-set the cost of Caravan materials, scarves, etc.

My child is in Elementary School (1st - 6th grade) and I agree to pay $20 to help off-set the cost of Caravan materials, badges, and supplies.

* Indicates Response Required

Youth XSmall	Youth Small
Youth Medium	Youth Large
Adult Small


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