23-24 Awana Registration NLCC
Jr. High - High School  |  Monday @ 6:30
3 yrs. - 6th grade |  Wednesday @ 6:30
Sign in to Google to save your progress. Learn more
Child's Name *
Birthdate *
MM
/
DD
/
YYYY
Age *
Grade *
Gender *
Required
Select One *
Parent/Guardian Name *
Address *
City, State, & Zip Code *
Cell Phone *
Home Phone
Email *
Photo Release *
Allergies/Medical *
Primary Physician Name & Number
Emergency Contact #1 Name *
Emergency Contact #1 Phone Number *
Emergency Contact #2 Name *
Emergency Contact #2 Phone Number *
Church you regularly attend
Fees *
Required
Payment Method *
Required
I hereby give my permission for my child (named above) to attend and participate in NLCC Awana Club and any special activities and events planned by the Awana Club.I do herewith authorize emergency treatment be given if necessary only after a reasonable effort has been made to reach us/me the parent(s) or guardian.I the undersigned do hereby release and agree to hold harmless the Awana Leadership, NLCC, and Awana Clubs International from any and all liabilities or claims for personal injury or illness which may be incurred by my child while attending and participating in the Awana Club and its activities and special events.I understand and hereby grant NLCC Awana Club, its staff and leaders permission, that, while my child is participating in approved Awana activities, photographs and videotape of my child may be taken for use in promoting Awana and its activities within NLCC. I further release NLCC and its staff and leadership from any and all claims that I may have against them as a result of my child’s picture being used in promoting Awana within NLCC. Type name below as Signature:
 *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms