Lolo Community Church AWANA Registration
Child's First Name: *
Your answer
Child's Last Name: *
Your answer
Grade in School *
Child's Birthday *
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Parent's or Guardian's Names: (First and Last names) *
Your answer
Mailing Address: *
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Physical Address:
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City: *
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State:
Zip Code: *
Required
Best Phone number *
Your answer
Alternative Phone:
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Best form of contact (email, phone call, text or messenger) *
Your answer
To better protect your children we have a Sign in & Sign out. I will bring my children into Awana between 6:15-6:29pm and sign them in and at 8:15 sign them out. THIS INCLUDES VAN children when you walk them out to the van. *
Required
Alternative family and friends to sign clubbers in and out. If they are NOT on the list they will NOT be able to take the child. Thank you! *
Your answer
Allergies
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Medical Issues or Special Needs
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Home Church
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Would you like more information about Lolo Community Church?
Email *
Your answer
Re-Enter Email *
Your answer
1)Medical Release 2)Permission to Attend 3)Permission to Contact 1)Medical Release: I give my permission for the Awana/Lolo Community Church staff to administer basic first aid to my child (named above) in the event of an injury. I understand that the Awana staff will contact emergency services in the event of a significant injury and all expenses for such emergency services will be paid by parent or guardian. 2)Permission to Attend: I give permission for my child (named above) to attend Awana/Lolo Community Church. I understand that the information I give for this registration will only be used by the Awana hosting church. 3)Permission to Contact: I, the undersigned, give permission for any Awana/Lolo Community Church members to contact my child by written communications or phone calls to discuss club activities. Praying with child and prayer requests. (Including birthday card, Christmas card and letters of encouragement.) *
Required
Photo Release: I hereby grant Awana/Lolo Community Church permission to take photographs and/or videos at Awana of the minor designated above in any manner or form for any purpose lawful at any time. I waive any right that I may have to inspect or approve the finished product or written copy, that may be used in publications, presentations, websites and promotion of Awana in conjunction therewith, or the use to which it may be applied. *
Required
Trek and Journey Permission to Leave Church Grounds: On any given night as a group with leaders. (Walk to the park across the road, walking with-in a mile of church, etc.) *
Required
We offer Van services for children 6 years old or weighing more than 60 pounds that would NOT make it to Awana otherwise. To better protect your children we have a Sign in & Sign out on the van so PLEASE WALK YOUR CHILD OUT TO THE VAN. For the safety of Cubbies we want parents to drive their Cubbies. If you have any questions about this please email Sarah at loloawana@gmail.com or call her 406-360-7995. Thank you!
Does your child need Van services? *
Required
Transportation Release: By marking YES in this section, I give permission for my child to ride in either a Lolo Community Church Van or Bus, to and from the church and our specific drop off/pick up location during any given AWANA night or Lolo Community Church activity: *
Required
Pick Up Location & Drop Off Location:
Your answer
Awana Cost: A flat fee of $32.00 per Awana clubber (CUBBIES - T&T). That's 32 nights of FUN!! This includes 3 family meals!!! It's a Dollar a night!!! If you need to make payments or need a scholarship please email Sarah at loloawana@gmail.com. Thank you!
I will pay Lolo Community Church Awana *
Required
Typing your name constitutes your signature and acceptance of the terms of your releases: *
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