AWANA Registration 2018-2019
AWANA CLUBS at Highland Baptist Church are for children 3yrs-6th grade, Wednesday Nights during the school year, 5:45-7:15 PM. Beginning Aug. 15, 2018.

Please complete one form per child.

Fees include:
Annual dues $15
Books $10
Uniforms $10

Got questions? Contact our AWANA leaders:
Stephanie Jackle, AWANA Ministry Director, ztalady@comcast.net | 256-415-8815
Stephanie Gilliam, Director of Children's Ministries, stephanie.gilliam@highlandbaptist.com | 256-764-1392

Child's Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age *
Grade in Fall 2018 *
Sex *
Church Name
Your answer
Parent Information
Parent's Name *
Your answer
Email *
Your answer
Phone *
Please include number you can be reached at during the AWANA activities.
Your answer
Street Address *
Your answer
City, State, Zip *
Your answer
Additional emergency contact name and number
Your answer
Medical Information
Please tell us any important food allergies or medical information that would help us provide your child with a great experience at AWANA.
Your answer
Medical Release and Photography Authorization
NOTE: By registering your child for AWANA CLUBS, you are authorizing the directors of the Highland Baptist Church AWANA Program to act for you according to their best judgement in any emergency requiring medical attention. You hereby waive and release Highland Baptist Church and its staff from any responsibility for accidental injuries during the programs and activities.

NOTE: By registering your child for AWANA, you are giving consent for your child's image to be taken and included in promotional pictures and videos for Highland Baptist Church. No names will be included in connection with these images.

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