AWANA Registration Form
Parent/Guardian Information
Name of Parent/Guardian (1)
*
First Name
Last Name
Contact #
*
Please enter a valid phone number.
Name of Parent/Guardian (2)
First Name
Last Name
Contact #
Please enter a valid phone number.
Address
*
Street Address (1)
Street Address (2)
City
State
Zip Code
Name of Home Church (If applicable):
Church Name
Emergency Contact (Other than Parents/Guardians to Contact During AWANA):
*
First Name
Last Name
Emergency Contact #
*
Please enter a valid phone number.
Name(s) of those who can pick up child(ren) from AWANA:
*
AWANA Club Member(s) Information
Child's Name & Grade
*
Last Name
First Name
Grade
*
Select Child's Grade
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child's Name & Grade
Last Name
First Name
Grade
Select Child's Grade
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child's Name & Grade
Last Name
First Name
Grade
Select Child's Grade
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child's Name & Grade
Last Name
First Name
Grade
Select Child's Grade
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Necessary Information Needed (Allergies, Medications, Special Needs, etc.)
*
Transportation Information
Will your child(ren) be riding the Calvary Church Bus this AWANA year?
*
YES --- My child(ren) will be riding the Calvary Church Bus this AWANA year.
(IF YOU ANSWERED YES) --- If my child(ren) will not be riding the bus on a certain night, I will call the church by NOON that Wednesday to let the bus driver know.
NO --- My child(ren) will NOT be riding the Calvary Church Bus this AWANA year.
Terms and Conditions
Must Read and Sign Before Submission
Carefully Read Below. Check, or Select Yes / No where it is applicable.
*
I understand that my child(ren) may participate in physical activities such as those held during Game Time. As with any physical activity, there is a risk of injury. I fully accept this risk and hold harmless from any legal liability, Calvary Baptist Church and any persons involved in the AWANA Club ministry.
In the event of an emergency that requires medical treatment for the above-named child(ren), I understand every effort will be made to contact me or any emergency contact. However, if I/we cannot be reached, I give my permission to the AWANA volunteers to secure the services of a licensed physician to provide the care necessary for my child's well-being. I assume responsibility for all costs connected to any accident or treatment of my child.
I grant permission for AWANA volunteers to take photos of my child(ren) during the AWANA time for promotional material, flyers, church presentations, etc., as long as no indentifying information will be shown.
Please Select
Yes
No
Click the Drop Down Arrow to Select Yes / No
I grant permission for my child to travel to/from AWANA club events with an adult leader. Any such event will be clearly communicated with me beforehand.
Please Select
Yes
No
Click the Drop Down Arrow to Select Yes / No
I have read and agreed to the Terms and Conditions stated above:
*
Signature of Parent/Guardian
Date of Signature
*
-
Month
-
Day
Year
Today's Date
Submit
Submit
Should be Empty: