AWANA Registration and Permission Form

AWANA Registration and Permission Form
McCall Baptist Church 200 Stibnite Rd/PO Box 1736 McCall, ID 83638
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Cell Number

Area CodePhone Number
E-mail
Birth Date

MonthDayYear
Name of School
Parent or legal guardian names
Home Church
Allergies or Health problems
Emergency Contact

First NameLast Name
Emergency Phone Number

Area CodePhone Number
Physicians Name

First NameLast Name
Physicians Number

Area CodePhone Number
By typing your name here you agree that you give your child permission to attend and participate in Awana Club and any special activities and events planned by the Awana Club. you also agree that emergency treatment be given if necessary only after a reasonable effort has been made to reach the parent or guardian. You also release and agree to hold harmless the Awana leadership, Mccall Baptist church and Awana Clubs International from any and all liabilities or claims for personal injury or illness which may be incurred by your child while attending and participating in the Awana Club and its activities and special events.
Todays Date

MonthDayYear
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