Awana Registration

OPENING NIGHT - AUGUST 21 AT 6:00 PM
We are happy to have your child(ren) participate in our Awana Clubs program!
There is a $32.00 registration fee for the first child, $27.00 for each additional child. We have scholarships available for childen that, due to financial circumstances, may not be able to attend. We accept credit/debit cards but cannot accept ACH payments.

If you need financial assistance, please check the box for "Request Scholarship," and our Awana Club Commander, Dwight Webster, will contact you.

These fees help to cover the cost of uniforms, books, awards, badges, etc.

Payment

Parent/Guardian Name(s):

Address

Home Phone:

Cell Phone:

OK to text?

Email:

This address will receive a confirmation email

Home Church:

Emergency contact name:

Emergency contact phone:

Who may pick up your child at the end of each Awana Club meeting (other than parent/guardian)?

Child(ren) Information

CHILD'S NAME:

Date of Birth:

Child's Gender:

Grade:

School:

Medical or other information we need to know. (Please include food allergies.)

Tee Shirt size for child Small Medium Large X-Large XX-Large

2nd CHILD'S NAME:

Date of Birth:

Gender:

Grade:

School:

Medical or other information we need to know. (Please include food allergies.)

Tee Shirt Size Small Medium Large X-Large XX-Large

3rd CHILD'S NAME:

Date of Birth:

Gender:

Grade:

School:

Medical or other information we need to know. (Please include food allergies.)

Tee Shirt Size Small Medium Large X-Large XX-Large

4th CHILD'S NAME:

Date of Birth:

Gender:

Grade:

School:

Medical or other information we need to know. (Please include food allergies.)

Tee Shirt Size Small Medium Large X-Large XX-Large

Are you interested in helping in Awanas? NOTE: All Awana Club leaders and helpers must submit to a background check.

Weekly Other Schedule Only Special Events Not at this time

Terms and Conditions

1) I understand that my child/children may participate in physical activities such as those held during Game Time. As with any physical activity, there is a risk of injury. I fully accept this risk and hold harmless from any legal liability, Harmony Baptist Church and any persons involved in the Awana Club ministry.
2) In the event of an emergency that requires medical treatment for the above named child/children, I understand every effort will be made to contact me or my emergency contact. If I/we cannot be reached, I give my permission to the Awana volunteers to secure the services of a licensed physician to provide the care necessary for my child's well being. I assume responsibility for all costs connected to any accident or treatment of my child.
3) I grant permission for photo(s) of my child to appear among other general club photos on social media or other media as long as there is no identifying information.
4) I grant permission for my child to travel to/from Awana Club events with an adult leader. Any such event will be clearly communicated with me beforehand.

I have read and agree to the Terms and Conditions stated above. (Typing your name acts as a signature.)

Date:

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Awana Registration - 2022-2023

Description

Awana Registration - 2022-2023

Description

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