Child's Name (First & Last) *

Parent's Name *

Parent 1 Cell Phone *

Parent 2 Cell Phone

Emergency Contact (other than Parent) *

Email address *

Address *

Child's Age on September 1st 2020 *

I give Faithbridge Church Permission to use photos my child may be in for promotion/social media/website *

I give my permission for my child to enroll in the Awana program at Faithbridge Church. Included in my child’s permission to join Awana is my permission for him/her to participate in Awana game time and nightly activities, as well as any special events that are scheduled during the year. I understand that in the event medical treatment is required, every effort will be made to contact me. However, if I cannot be reached, I give my permission to the staff or sponsor to secure the services of a licensed physician, to provide the care necessary for my child’s well-being. I hearby release and forever discharge Faithbridge Church from any and all claims, demands, actions, or causes of action past, present, and future arising out of any damage or injury while participating in this activity. *