AWANA Registration

Student's Information

* Indicates required field

Student First Name *

Student Last Name *

Birth Date *

Grade *

School *

Allergies, Medications, and Special Needs *

Child's Doctor *

Doctor's Phone *

Gender *

Male Female

Choose All That Apply *

Child needs Handbook Child needs Uniform Parent willing to help

Home Church *

Parent/Guardian information

Parent/Guardian Name 1 *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone *

Mobile Phone *

Email *

Emergency contacts & Pickup INFORMATION

Emergency contacts also serve as alternate pick-up names for times when you are not able to pick up your child(ren) in a timely manner after club.

Emergency First Name 1 *

Emergency Last Name 1 *

Emergency Phone 1 *

Emergency First Name 2 *

Emergency Last Name 2 *

Emergency Phone 2 *

Terms & Conditions

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 the risk and hold harmless from any legal liability, Sharon Baptist Church and any persons involved in the Awana Club Ministry.
In the event of an emergency that requires medical treatment for the above named child/children, I understand a reasonable effort will be made to contact me and/or my emergency contact. However, if I/we cannot be reached, I give permission to the representatives of Sharon Baptist Church and/or 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.
From time to time during Awana videos or photographs will be taken of my child/children. I grant my permission for Sharon Baptist Church to use these videos and photographs of my child/children.

I have read and agree to the Terms & Conditions stated above. By registering my child with AWANA at Sharon, I am acknowledging and agreeing to the Terms & Conditions above.

Submit Registration