Fairview Baptist Church - West End, NC
Register to join our 2025-2026 AWANA Clubs!
Wednesdays, 6:30-8:00pm (Starting September 3rd)
Join us early for an evening meal at 6:00pm each week!
Register Your Child
Child's Information
*
Party Responsible for Pickup
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Child(ren)
Parent Information
Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Phone Number
*
Format: (000) 000-0000.
Secondary Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Home Church
Medical and Photo Release/Consent
I give consent for a responsible adult member of Fairview Baptist Church to administer appropriate first aid to my child when needed. I also give consent to secure additional emergency treatment for my child, under the following conditions: reasonable effort has been made to find me at the church or at my primary phone number listed; and, the consensus of several adults is that care is needed prior to the probable return of myself or a responsible party to pick up my child. I understand it is my responsibility to notify the club leaders as to where I can be reached in the event of an emergency.
*
I CONSENT
During AWANA clubs, volunteers will be taking picture of activities. These photographs may be used for an event slideshow to be presented on closing night, and/or posted on the church's Facebook page; however, children will not be identified in the photos. I give consent for Fairview Baptist Church to use pictures of my child on their website and social media pages for informational or promotional purposes.
*
YES
NO
Submit
Should be Empty: