Awana Registration
Which Club (what grade will they be in starting in september) *
*
Childs Name (First and Last) *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Primary Phone number *
Your answer
If primary number is a cell phone, please provide carrier
Secondary Phone number
Your answer
Email *
Your answer
Child's Birthday *
MM
/
DD
/
YYYY
Child's Grade starting in Sept. *
Your answer
Child's Age starting in Sept. *
Your answer
Parents/Guardian name *
Your answer
Home Church *
Your answer
Allergies *
Your answer
Medicines or Game Restrictions *
Your answer
Emergency Contact Name (other than parent) *
Your answer
Emergency Contact Number (other than parent) *
Your answer
Physician name and number *
Your answer
I hereby give permission for my child (named above) to attend and participate in Airway Heights Baptist Church AWANA club, and to any special activities and and events planned by the AWANA club. I authorize emergency treatment to be given if necessary, only after reasonable effort has been made to reach Parent or Guardian. I also agree to release and hold harmless the AWANA leadership, Airway Heights Baptist Church, volunteers, AWANA International from any liabilities, or claims for personal injury which may be incurred by my child while attending and participating in AWANA club activities or special events. I also give permission for my child to be photographed and photos to be used for display and for events of Airway heights baptist church and AWANA clubs. *
Will your child be riding the bus *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms