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Welcome to online registration
Please enter any allergies in the Special Notes section.
New Awana Registration
Household Information
Parent/Guardian #1
*
Parent/Guardian #2
Address
*
City
*
State
*
Zip
*
Enter alternate address for Parent/Guardian#2
Phone#
*
Type
Receive Texts?
Address
City
State
Zip
Phone#
Type
Receive Texts?
Other Emergency Contacts (include phone numbers)
Please include a phone# and name for each of your Other Emergency Contacts.
List others authorized to pickup your child
What church do you attend?
Church attendance is NOT required. Enter NONE if you don't attend a church.
During meetings, I will normally be at
Main
I don't have an email address
Email
*
Clubber Information
First Name
*
Last Name
*
Gender
*
Please select...
Boy
Girl
Grade for 2024-25
*
Please select...
2 years old [by Sept 1st] (Puggles)
Pre-School (Cubbies)
Kindergarten (Sparks)
Grade 1 (Sparks)
Grade 2 (Sparks)
Grade 3 (T&T)
Grade 4 (T&T)
Grade 5 (T&T)
Grade 6 (T&T)
Birthdate
*
Month...
January
February
March
April
May
June
July
August
September
October
November
December
Invited by
Shirtsize
*
3T
4T
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Adult XXL
Adult 3X
Already completed other handbooks?
Photo Release:
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
,
NO
,
In lieu of your signature, please enter your initials:
Special Notes
Please enter any special notes that we should know about your child. For example, allergies, special instructions, etc.
Medical Release:
I the undersigned parent or guardian, hereby consent to my child participating in AWANA Clubs, an event sponsored by First Coast Baptist Church on Sunday evenings from September 2023 - May 2024. I certify that my child is able to participate in all activities. In the event an emergency occurs, and that neither myself or my emergency contact person cannot be reached, I hereby authorize First Coast Baptist Church to make emergency medical decisions for my child. I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL OF THE RISKS WHICH MAY BE ENCOUNTERED ON SAID ACTIVITY, INCLUDING ACTIVITIES PRELIMINARY AND SUBSEQUENT THERETO. I do hereby agree to hold First Coast Baptist Church and its agents and employees, harmless from any and all liability, actions, causes of actions, claims, expenses and damages on account of injury to my child or property, even injury resulting in death, which I now have or which may arise in the future in connection with the activity or participation in any other associated activities.
YES
, I give permission as stated above for my child regarding medical care
NO
,
In lieu of your signature, please enter your initials:
Custom
YEARLY DUES for clubbers is $15.00 ($25.00 maximum per family). Clubber t-shirts are $10.00. *Handbooks are provided. (*Replacement handbook is $12.00.). Other items (such as book bags) can be ordered from the Awana Office beginning September 15.
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Copyright © 2024 by
Devon Clark
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