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New Awana Registration
Household Information
Parent/Guardian #1
*
Relationship
Dad
Grandparent
Guardian
Mom
Parents
Parent/Guardian #2
Relationship
Dad
Grandparent
Guardian
Mom
Parents
Address
*
City
*
State
*
Zip
*
Enter alternate address for Parent/Guardian#2
Phone#
*
Address
City
State
Zip
Phone#
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.
Website Login
I don't have an email address
Email
*
Alternate Email
New password
*
Please enter a password you'd like to use to login to this site.
Clubber Information
Registration Type
*
Clubber
Leader/Volunteer
Change to Leader/Volunteer if you're an adult registering to help with meetings
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
Special Notes ( ALLERGIES, RESTRICTIONS, OTHERS )
Please enter any special notes that we should know about your child. For example, allergies, special instructions, etc.
Medical Release:
As a parent/guardian, I give my permission for the above minor to attend Awana activities including regular club nights and any special activities from August 28th, 2024 to May 14th, 2025. I authorize treatment under the direction of any licensed physician of the above minor in the event of a medical emergency which in the opinion of the attending physician my endanger his or her life, cause disfigurement, physical impairment or undue discomfort if delayed. This authority is granted after reasonable effort has been made to reach me by phone. I will not hold the church, or their staff, administration, or workers, liable for any injury to or loss of possessions by the above minor during any activity either on the church property or away, including regular meetings as well as special events.
YES
, I give permission as stated above for my child regarding medical care
NO
, I do
NOT
give permission for my child to receive medical care
In lieu of your signature, please enter your initials:
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
, I grant permission for use of photographs of my child as stated above
NO
, I do
NOT
authorize use of photographs of my child
In lieu of your signature, please enter your initials:
Transportation
I grant my permission for my child to travel to/from Awana Clubs / Events with an adult Leader. Any such event will be clearly communicated with me beforehand.
PUGGLES SPECIFIC
As a parent or legal guardian of a child in Puggles, I ( or my spouse ) will be on FBC campus at all times during club night. I will make known of my location to the Puggles Leaders.
Vest / Shirt size
*
2T - Puggles, Cubbies
3T - Puggles, Cubbies
4T - Puggles, Cubbies
5T - Puggles, Cubbies
Child Small 6 - Sparks
Child Medium 8 - Sparks
Child Large 10 - Sparks
Child XL 12 - Sparks
Child XXL 14 - Sparks
Child XXXL 16 - Sparks
Youth Small 10 - T&T
Youth Medium 12 - T&T
Youth Large 14 - T&T
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Adult XXL
Adult XXXL
Day at the Zoo
20.00
Iron P. Zoo, cost includes admission, feeding the animals, tour, and food.
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Copyright © 2025 by
Devon Clark
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