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AWANA CHILD REGISTRATION
August 2022-May 2023
*
Indicates required field
Child's Name
*
First
Last
Gender
*
Male
Female
Birthdate
*
Age
*
School Grade
*
Preschool
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Select One
*
Puggles - at least 2 yrs. of age by 9/1/22
Cubbies - at least 3 yrs. of age and not yet attending Elementary School
Sparks - Kindergarten, 1st, or 2nd grade
Truth & Training - 3rd, 4th, or 5th grade
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Home Phone Number
*
Cell Phone Number
*
Email
*
Parent/Guardian Name
*
First
Last
Church you regularly attend, if any:
*
Will Your Child Need a Shirt or Vest? (There is a charge for uniforms)
*
None
Cubbies Vest (small)
Cubbies Vest (Medium)
Cubbies Vest (Large)
Sparks Vest (Small)
Sparks Vest (Medium)
Sparks Vest (Large)
Sparks Vest (XL)
TNT Shirt (Small)
TNT Shirt (Medium)
TNT Shirt (Large)
TNT Shirt (Adult Small)
TNT Shirt (Adult Medium)
If your child has allergies, please list them below:
*
Other Care Notes including any Medical Constrictions
*
Medications
*
Special Info:
Photographs are sometimes taken of children's ministry activities for promotional purposes, which include but are not limited to, in-house presentations, church websites, brochures and newsletters. Children's names and information are never used without specific permission.
Liability Release
I give my child permission to attend AWANA Club and participate in all AWANA Club related activities. It is expressly desired that participant described herein be an active participant in the activities of AWANA Club Participant is believed to be in satisfactory health and free from communicable disease. It is understood that there are certain risks involved in activities related to AWANA Club. It is understood and agreed that West Acres Baptist shall not be responsible or legally liable for any losses of personal property or for any bodily injuries (or the results thereof) incurred and suffered by participant in connection with AWANA Club, unless such loss or injury results directly from the negligent or willful act of any West Acres staff. In the event I (parent/guardian) cannot be reached or am rendered unconscious, I hereby give permission to the physician selected by West Acres Staff to hospitalize, secure proper treatment for, order injections, anesthesia and/or surgery for my child in case of an emergency. By typing my full name below I (Parent/Guardian) agree and consent to all above stated.”
Parent/Guardian Full Name
*
Submit
New Here
FAQs
Our Beliefs
What is the Gospel?
Staff
Weekly Schedule
VBS
Next Steps
Discover West Acres
Children's Ministry
Student Ministry
College
Small Groups
Missions
Care Ministry
Music and Worship
I'm Ready
Media
Sermons
Podcasts
Right Now Media
Online Sign-Ups
Online Giving
Prayer Wall
Resources
Announcements
Volunteer Opportunities
Volunteer Safety Application
Work Orders
Connect