Awana Clubber Registration

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Please fill out the following fields with the required information. Your form will be kept in our records, and printed out for you to sign the first night you bring your child to AWANA. Please bring payment for the AWANA fee at that time as well ($35 per child), or you can go to our website at cornerstone.place/give and mark your payment for "AWANA," and in the message box include the name of the child(ren) you are paying for.

Email *

Parent/Guardian Information

Please fill out the following:

Name *

Phone *

(Additional Parent) Name

(Additional Parent) Phone

Address (Street, City, State, Zip) *

Authorized Pickups (Other than parents)

Home Church

Emergency Contact Phone *

Secondary Emergency Contact Phone *

Child or Children Information

Please fill out the following:

First and Last Name *

Birth Date *

YYYY

Gender *

Male

Female

Grade *

Allergies *

Additional Child

Birth Date

YYYY

Grade

Allergies

Additional Children (Please include Birth Date, Grade, and Allergies)

Thank you for allowing your child to participate in our club! - Jason and Kelly French, Awana Commanders

I'm interested in helping:

Weekly

Every other week

Monthly

For Special Events

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*Note: All Awana Club leaders and volunteers must complete a background check.*

Terms and Conditions

I understand the annual fee is $35.00 per child (Cubbies, Sparks, T&T Clubs). This fee covers books, uniforms, and awards. I agree to pay the Annual Fee upon registration. 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 this risk and hold harmless from any legal liability, AWANA Clubs International, Cornerstone 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 every effort will be made to contact me or my emergency contact. However, if I/we cannot be reached, I give my permission to the AWANA volunteers to secure the services of a licensed physician to provide the care necessary for my child's wellbeing. I assume responsibility for all costs connected to any accident or treatment of my child. I grant permission for a photo of my child to appear in an unpublished club directory to be used by Awana leaders only. I also give permission for photo(s) of my child to appear among other general club photos as long as there is no identifying information shown. I understand that my child needs to wear tennis shoes (no open-toed shoes) in order to participate in game time.

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