Awana 2017-2018

Please fill out this form and click submit.

Child Information

Please note that a child must be at least 3 years of age to attend.

Name

*

Date of Birth

*

Grade

*

Please select one option.

Kindergarten 1st 2nd 3rd 4th 5th 6th Not yet in school

Age

*

Parent/Guardian Information

Parent Name

*

Address

*

Phone

*

Email

*

This address will receive a confirmation email

Additional Information

Emergency Contact Name and Number

*

Allergies

*

Any other Special needs or comments?

Consents

If your child will be walking to or from Awana without an adult checking them in/out, please be sure to ask for and fill out a Walking Consent Form at registration.

Medical Consent: I understand that my child may participate in physical activities. As with any physical activity, there is risk of injury. I fully accept this risk and hold harmless from any legal liability, Gospel Center Missionary Church and any persons involved in the Awana ministry.

*

Please select all that apply.

I agree I disagree

Photo/Video Consent: I understand and grant permission for photo(s) or video of my child to appear among other general photos that may be taken at Awana for purposes of ministry or advertising of Gospel Center Missionary Church. I understand and give permission for the photos to be used in multiple venues including but not limited to: projection screens, flyers and websites.

*

Please select one option.

I agree I disagree

Description

Please fill out this form and click submit.

Please Fix the Following

Close