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AWANA 2018-2019
Thanks for signing your child(ren) up for AWANA. We are excited to have them as part of our team.
If you have MORE than 1 Child, we are asking that you fill out this form for each child, this will help expedite our ability to process their information.
If there is an error in the information you've submitted or if you have questions, please contact Jeff Diener at 920-467-6449 or jeffd@stpaulfalls.com
Child's First Name *
If you have more than 1 child--please register each one individually. This will expedite our ability to process your information.
Your answer
Child's Last Name *
Your answer
Child's Gender *
Child's Grade *
Child's Birthdate *
MM
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DD
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YYYY
Does this child have allergies or special needs? *
Simply type "Yes" or "No." If "Yes," please explain.
Your answer
Street Address *
Your answer
City, State, Zip Code *
Your answer
Home Phone (Optional)
Your answer
Mother's Name (First and Last)
Your answer
Mother's Cell #
Your answer
Father's Name (First and Last)
Your answer
Father's Cell #
Your answer
Primary Email Address *
This is used for important reminders and occasional updates.
Your answer
Any restrictions of activity for medical reasons? Please explain
Your answer
Any behavorial concerns or other information to share with our AWANA team.
Your answer
Would you be interested in serving as part of the AWANA team. (Visit our volunteer site to see what opportunities exist: http://www.stpaulfalls.com/AWANA-Volunteers)
Please sign me up for text messages regarding AWANA for the cell phone numbers listed above. (You may opt out at any time) *
Do you give permission for your child to be photographed/filmed? *
Photos/Videos may be used for educational or promotional purposes on publically distributed printed materials, within St. Paul's facility, or online, including our Website, Facebook and other Social Media. Understand that global access to the Internet does not allow us to control who may access the photos or videos.
Liability Waiver *
This consent form gives permission to seek whatever medical attention is deemed necessary, and releases the Church and its staff of any liability against personal losses of named child. I understand that there are inherent risks involved in any ministry or athletic event, and I hereby release the Church, its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my child’s involvement. I consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required from a physician and/or hospital personnel designated by the Church, I agree to hold such person free and harmless of any claims, demands, or suits for damages arising from the giving of such consent *Check below that you have read the above statement.
Required
Are you a member of St. Paul or a visitor *
Please check that you understand: It is the responsibility of parents/guardians to be the primary faith developer of their child(ren). The AWANA ministry exists to help support families in this journey and has the greatest impact when parents/guardians are working with their kids at home during the week. The volunteers and ministry staff of St. Paul are available if you have questions or need encouragement. *
The first day of AWANA is Wednesday, September 5. Parent and kids should plan to attend from 6-7:30. *
Required
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