Awana Registration
Clubber Name
First Name
Last Name
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone
-
Area Code
Phone Number
Cell Phone
-
Area Code
Phone Number
Cell Phone
-
Area Code
Phone Number
Permission to send text messages to above cell phones (yes or no)
Clubber Birthday
Clubber Age
Clubber Grade
Does your child attend church anywhere? If yes, where?
Please list all individuals authorized to pick up your child from Awana. Please note that your child will only be released to those on this list.
Please list emergency contacts other than listed above (Name/Phone number)
Please list any medical information (food allergies, medications, etc.) that we may need to be aware of.
Does your child have permission to participate in regular weekly Awana Club activities at TGBC? (yes or no)
May we have permission to photograph your child? (yes or no)
May we have permission to use your child's photograph for the purpose of promotion (TGBC website, Facebook, etc.)? (yes or no)
May we have permission to contact your child by written communication or telephone to discuss club activities (event announcements, birthday cards, get well cards, etc)? (yes or no)
Parent/Guardian signature (By entering your name and date here, you authorize that the above information is correct and your child has permission to attend Awana and related activities at TGBC during the 2019-2020 Awana calendar year. (name/date)
Submit
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