AWANA Registration

We are so happy to be able to offer AWANAs on Wednesday nights. Please complete one form per child.

During the semesters of AWANAs, students begin eating at 5:45 p.m. with meals varying from week to week. After the meal, the students begin rotating through a schedule consisting of times of groups, games, and classroom time. AWANA concludes at 8:00 p.m. with a brief closing.

To better serve you and your child, please complete this registration form prior to your child participating in AWANAs. This gives us contact information for every child as well as allergy/medical concerns.

We are so thankful your child is participating in our AWANAs program! We appreciate the trust you place in us!


By submitting this Registration Form, you are agreeing to the following:

1. Release of Liability: I, for myself, my minor child and for the child's other parent and/or guardian, hereby release, waive, discharge, and covenant not to sue West Bauxite Missionary Baptist Church, and its officers, directors, employees, agents, volunteers, heirs and assigns of from all liability, loss, claims, demands, possible causes of action, court costs, attorneys' fees and other expenses arising from any lawsuit that may otherwise occur from any loss, damage or injury to my child's person or property in any way resulting from or connected with my child's attendance at AWANAs, including, without limitation, the failure of anyone to enforce rules and regulations, failure to make inspections, or the negligence of other persons.

2. Photo Release:  I give permission for my child's photo, which may be taken during AWANAs, to appear on the church website (www.wbmbc.org) or church social media accounts.

3. Consent to Medical Treatment. In the event my child becomes ill or injured, I give permission for a representative of West Bauxite Missionary Baptist Church to take whatever steps are reasonably necessary to render emergency first aid to my child. I also consent to such emergency medical treatment as may be reasonably necessary to render emergency first aid to my child. I also consent to such emergency medical treatment as may be reasonably necessary to ensure the health and welfare of my child including, but not limited to, x-rays, anesthetic, medical or surgical diagnosis and treatment, hospital care and administration of drugs or medicine under the care of a licensed physician and/or surgeon.

4. Contact Permission Authorization. Occasionally your child's leader would like to contact you and your child to see how they are enjoying AWANAs, and if they need any help in completing their handbooks/worksheets. Your child's leader would also like to send written correspondence (such as "Get Well" cards, "Birthday Card", etc.) By submitting this form, you are giving your child's leader written permission as the legal parent/guardian to contact you and your child, by written communication, email, and/or by telephone to discuss AWANAs activities.

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Email *
Child's First Name *
Child’s Last Name *
Address *
Parent/Guardian’s Name *
Phone number *
Emergency Contact Name *
Emergency Contact Relationship to Student *
Emergency Contact Phone Number *
If you currently attend or are a member of a church, which one? If not, simply put "NA".
Is this your child’s first year of Awana here at West Bauxite? *
Date of Birth *
MM
/
DD
/
YYYY
Child Gender *
Current Grade *
Medical or Allergy Concerns *
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