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Please enter any allergies in the Special Notes section.

New Awana Registration

NOTE: Registration is CLOSED for Cubbies

Household Information

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Child Information

Note: Due to space and volunteer constraints, Puggles is only for kids of those helping with Awana.
As a parent/guardian, I give my permission for the above minor to attend Awana activities including regular club nights and any special activities from September 4, 2018 to April 30, 2019. I authorize treatment under the direction of any licensed physician of the above minor in the event of a medical emergency which in the opinion of the attending physician my endanger his or her life, cause disfigurement, physical impairment or undue discomfort if delayed. This authority is granted after reasonable effort has been made to reach me by phone. I will not hold the church, or their staff, administration, or workers, liable for any injury to or loss of possessions by the above minor during any activity either on the church property or away, including regular meetings as well as special events.

YES, I give permission as stated above for my child regarding medical care
NO, I do NOT give permission for my child to receive medical care
In lieu of your signature, please enter your initials:
Photographs are sometimes taken of Awana ministry activities for publicity and promotional purposes, which include, but are not limited to, in-house presentations, church web site, brochures and newsletters. By signing below, you are granting the church to use photographs of the above mentioned minor(s) as stated.

YES, I grant permission for use of photographs of my child as stated above
NO, I do NOT authorize use of photographs of my child
In lieu of your signature, please enter your initials:
Updated: 0000-00-00 00:00:00
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