SHBC Awana Clubs Registration Form
Please contact Jeb Berleth with any questions or inquiries.
Email address *
Child's Name *
Your answer
Child's Birth Date *
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Child's Grade *
Your answer
Home Phone *
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Email *
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Child's Home Address *
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Parent's Name *
Your answer
Parent's E-mail *
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Parent's Phone Number *
Your answer
Emergency Contact Name *
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Emergency Contact Relationship to the Child *
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Emergency Contact Phone Number *
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Emergency Contact Address *
Your answer
Child Medical Allergies?
Your answer
Photographs are sometimes taken of children’s ministry activities for publicity and promotional purposes,which include, but are not limited to, in-house presentations, church web sites, brochures and newsletters. Children’s names or information are never used without specific permission. By typing your name below, you are releasing Spring Hill Baptist to use photographs of your child as stated above. If you do not wish for photos of your children to be taken and used for promotional purposes please skip this question.
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