Awana Registration

Please list children's names, birthdays, and grades as of fall 2023

This address will receive a confirmation email

Phone

Address

Clothing Size for each child

Emergency Contact Name

Emergency Contact Phone

We the parents ofthe above named child(ren) do hereby authorize the AWANA leader representing Bible Baptist Church, as agent to the undersigned, to consent to any x-ray, examination, anesthetic, medical, or surgical diagnosis or treatment and hospital care which is deemed advisable by and is to be rendered under general or special supervision of, any medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at office or said hospital. It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care required but is given to provide authority and power on the part of aforesaid agent to give specific consent to any and all such diagnosis, treatment, and hospital judgment deemed advisable. It is understood that, as parents or guardians, we are responsible for all medical costs and I (we) will not hold Bible Baptist Church, the leader, or any officer, drivers, or helpers liable for medical aid rendered to my child(ren).

I have read the above statement

PERMISSION TO PHOTOGRAPH & VIDEO I grant permission to Bible Baptist Church, the rights of my child’s image, likeness and sound of voice as recorded on audio or video tape, without payment or any other consideration. I understand the images may be edited, copied, exhibited, published or distributed, and waive my right to inspect or approve the finished product, wherein their likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of images or recordings. By signing this release I understand this permission signifies that photographic or video recordings may be electronically displayed via the Internet or in a public setting. By signing this form I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material.

I have read the above statement

Allergies?

Registration

Please make sure you have selected an option from each category.
-Handbooks are required each year. Your child can still earn awards from an unfinished handbook in their spare time.

-Vests and shirts are required but do not need to be purchased each year.

Registration

Cubbie (3-PreK) or Sparks (K-2nd Graders) VEST

Cubbie (3-PreK), Sparks (K-2nd Graders), or T&T(3rd- 5th Graders) Handbook

T&T T-Shirt (For 3rd-5th graders)

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Awana Registration

Description

Please Fix the Following