Name of Parent/Legal Guardian *

Address (City, State, Zip)

Cell Phone *

Emergency Contact Name, Relationship to Child, and Phone Number *

The following people have permission to pick up my child(ren) from AWANA:

I am registering my child(ren) for:

Parental Consent: I give consent for my child(ren) listed below to attend AWANA program sponsored by Oconee Heights Baptist Church from the school year of September 2020-May 2021. I understand the nature of events and do hereby release Oconee Heights Baptist Church and its representatives from any liability due to accident or injury incurred by my child. I understand that promotional photographs or videos may be taken during Awana and used in print, on our website, or other forms of media. Permission is granted or my child(ren) for photography or video to be used by Oconee Heights Baptist Church for promotional purposes only. *

Wavier/Release for Communicable Diseases: I acknowledge that Oconee Heights Baptist Church has put in preventative measures to reduce the spread of Covid-19 and other communicable diseases. I further acknowledge that Oconee Heights Baptist Church cannot guarantee that I or my children will not become infected with the Coronavirus/Covid-19 or other communicable diseases. I understand that the risk to my children, me, or other members of my family/household of becoming exposed to and/or infected by theCoronavirus/COVID-19 or other communicable diseases may result from the actions, omissions, or negligence of myself and others, including, but not limited to, students, teachers, parents, and families at Compass. Every time my child(ren) attend AWANA at Oconee Heights Baptist Church I attest that: •My children are not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell. •My children have not traveled internationally within the last 14 days. •I do not believe my children have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19. •My children have not been diagnosed with Coronavirus/Covid-19 or have passed the CDC’s recommended isolation/quarantine requirements after being diagnosed with COVID-19. *

Sick Policy Agreement: I agree that my child(ren) will NOT attend AWANA at Oconee Heights Baptist Church if they have the following symptoms: A fever currently or within the last 24 hours (must be fever free for 24 hours without the aid of a fever reducer); An unidentified rash, any open sores or weeping wounds; A harsh cough or large amounts of yellow or green nasal discharge; Any symptom that they usually stay home from school with; Lethargic behavior; Diarrhea or loose stools currently or within the last 24 hours; Vomiting currently or within the last 24 hours; Head lice, pin worms, pinkeye, ringworm, impetigo, etc.