AWANA REGISTRATION FORMChild InformationOne form must be completed for each child. After completion of the form, you will need to refresh the page to begin another.Childs Name(Required) First Last Birthday(Required)Age(Required)GenderMaleFemaleClubCubbies (Preschool 3’s and 4’s, potty-trained)Sparks (Kindergarten, Grades 1, 2)T&T - Truth in Training (Grades 3, 4, 5, and 6)Grade this Fall(Required)Street AddressCityZipcodeEmail(Required)Home or Cell Phone(Required)Church You AttendSpecial Concerns/Needs(Required)Allergies, health conditions, physical limitations, custody concerns, etc.Other Adult(s) Authorized to Pick up Child(Required)If no other adults are authorized simply type N/AParent/Legal Guardian InformationFather's NameContact NumberMother's NameContact NumberAlternate Contact InformationNameRelationship to ChildPhoneParticipation Consent(Required) I give permissionI, the parent or legal guardian of the child named above, a minor, herby give my consent for my child to attend events being organized by Trinity Church. I understand that there are inherent risks involved in any ministry or event, and I herby release Trinity Evangelical Free Church (TEFC), its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my child's involvement.Medical Authorization(Required) I give permissionI hereby give permission to the medical personnel selected by TEFC to order x-rays, routine tests, and treatment; to release any records necessary for insurance purposes; and to provide or arrange necessary related transportation for my child. In the event I cannot be reached in an emergency, i hereby give permission to the physician selected by TEFC to secure and administer treatment, including hospitalization, ambulance transport, and paramedics for the child named above. I hereby agree to fully pay all costs of medical or dental care incurred by TEFC or their agent for the child under this authorization.Media Consent(Required) I give permissionDuring the year there are occasions when photographs/videos will be taken by a volunteer associated with TEFC. I hereby give permission for photos/videos of my child to appear among other Awana club photos/videos and in any and all church media (bulletin, boards, slide shows, brochures, church websites viewable by the general public, etc.) for ministry purposes. Their names may appear in these publications.Parent/Legal Guardian Signature(Required)Date(Required) MM slash DD slash YYYY
AWANA Registration Form