AWANA Registration Form
Email address *
Parent's First Name *
Your answer
Parent's Last Name *
Your answer
Spouse's First Name
Your answer
Spouse's Last Name
Your answer
Child's First Name *
Your answer
Child's Last Name *
Your answer
Gender *
Child's Date of Birth *
Your answer
Child's Grade *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Emergency Contact *
Your answer
Relationship *
Your answer
Emergency Phone Number *
Your answer
Which Club Are You Registering Your Child For? *
Required
Child's Shirt Size *
1.) I consent to and approve my child/children’s taking part in any and all activities conducted by GROVE'S FIRST BAPTIST CHURCH (“Church”) AWANA Clubs. I understand that my child/children may participate in physical activities such as those held during Game Time. As with any physical activity, there is a risk of injury. I fully accept this risk and consent to the treatment of any minor injuries of my child/children, and release, hold harmless and indemnify AWANA and the Church and their officers, directors, agents, employees and volunteers from any and all liability, claims and costs arising from or growing out of such treatment. In the event of an emergency that requires medical treatment for the above named child/children, I understand every effort will be made to contact me or my emergency contact. However, if I/we cannot be reached, I give my permission to the Awana volunteers to secure the services of a licensed physician to provide the care necessary for my child’s well being. I assume responsibility for all costs connected to any accident or treatment of my child.2.) I understand that any off-property Awana excursions will be communicated with me beforehand and I will be required to sign a separate medical release form in order for my child to participate in those excursions. *
Your Signature Is Required
Your answer
Periodically pictures are taken of events in AWANA and are posted on our website or printed for club. We would like your permission to post and print such photos *
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service