AWANA Registration & Permission Form (2025-2026)

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Dear Parent (Guardian),

Please fill out this Registration & Permission Form and print it to bring with you on your child's first club night.

Optional Purchased Items:

1. AWANA Uniforms: Cubbies Vests ($16), Sparks Vests ($16), TNT Shirts ($15)

2. AWANA Books: Cubbies ($15), Sparks & TNT ($12)

Please make checks payable to: Redeeming Grace Church AWANA

Email *

Name *

Gender *

Boy

Girl

Address (Street, City, State, Zip) *

Email Address *

Cell Phone (Mom) *

Cell Phone (Dad) *

Grade *

Age *

Birthdate *

Name of School *

Parents/Legal Guardian Names *

Home Church (If Applicable) *

Health problems, allergies, or restrictions in game participation. *

Emergency contact person if parents cannot be reached (Name, phone number & relation) *

I give my permission for my child (named above) to attend and participate in Redeeming Grace Church AWANA Club and any special activities and events planned by the AWANA Club. *

Yes

I authorize emergency treatment be given, if necessary, only after a reasonable effort has been made to reach us/me, the parent(s) or guardian. *

Yes

I release and agree to hold harmless the AWANA Leadership of Redeeming Grace Church and AWANA Clubs International from any and all liabilities or claims for personal injury or illness which may be incurred by my child while attending and participating in AWANA activities or special events. *

Yes

I understand and grant Redeeming Grace Church AWAN Club, its staff and leaders permission, that while my child is participating in approved AWANA activities, photographs and videos of my child maybe taken for use in promoting AWANA activities within Redeeming Grace Church. I further release Redeeming Grace Church and its staff and leadership from any and all claims that I may have against them as a result of my child's picture being used in promoting AWANA within Redeeming Grace Church. *

Yes

Please list all who are ALLOWED to pick up your child(ren) and include phone number. *

MEDICAL CONCERNS:

Medical Concerns: We love your children and thank you for trusting them to us, but we are not doctors or nurses. With this in mind, we request that if you have a child with serious allergies, you bring your child and stay on site for the duration of the event. You can stay in the foyer, sanctuary, or library. If you are will to have a background check done, you may stay with your child. This background check is required of everyone who works in AWANA to protect your children.

WE APPRECIATE YOUR COOPERATION!

Send me a copy of my responses.

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