Awana Registration

Clubber Information

Child's Name

Birthdate

Gender Boy Girl

Please list any allergies or medical conditions we should be aware of?

Family Information

Parents Names

This address will receive a confirmation email

Address

Main Phone

Other Phone

Home Church

Handbooks, Uniforms, & Handbags

HANDBOOKS: Each clubber will need a handbook each year. Please choose the handbook by the grade the clubber is in.

Uniforms and Handbags are OPTIONAL.

Items to be Ordered

Handbook -- 3 Year Olds - 8th Grade ($13.00) Handbook -- High School ($20.00) Vest ($15.00) Handbag ($7.50)

Vest Size Cubby - Size 4 Cubby - Size 5 Cubby - Size 6 Cubby - Size 8 Spark - Size 6 Spark - Size 8 Spark - Size 10 Spark - Size 12

Permissions

Name of Emergency Contact

Phone Number for Emergency Contact

Emergency Medical Authorization - I hereby authorize the leaders of AWANA to act on my behalf when I cannot be contacted, IN CASE OF AN EMERGENCY, resulting in the need of medical attention for my child named above. I also agree to hold harmless the AWANA leadership and First Baptist Church of Silvis, IL, from any accidents as a result of my child's participation in its activities. Furthermore, I agree to reimburse First Baptist Church, Silvis, IL for all medical expenses.

I Agree

Photography Release -- I understand that photographs will be taken throughout the Club Year which may be used as part of the Parents and Award Night slide presentation. I hereby give permission for my child to be photographed. I further understand that if I do not wish my child to be photographed, it is my responsibility to notify the Ministry Director.

I Agree

Awana Registration

Description

Please Fix the Following