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LBC Awana 2023-2024 Registration Form
This is an online sign up sheet for Lighthouse Baptist Church Awana:
Our Awana ministry begins September 10th 2024!
Time: 2-4pm
Location: 4105 Gulf Freeway, Dickinson, Texas 77539
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Email
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Your email
Child's Name (First & Last)
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Your answer
Date of Birth
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Your answer
Grade Level
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Age 2-3
Age 4-5 (Pre-K)
Kindergarten - 2nd
3rd-5th
6th-8th
High school
Name of Parent/Guardian (First & Last)
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Your answer
Phone Number
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Your answer
Home Address
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Your answer
Emergency Contact Name
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Your answer
Emergency Contact Number
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Your answer
Emergency Contact Name & Number (other than parents).
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Your answer
Does your child need an Awana book?
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Yes
No
Does your child need an Awana uniform?
Yes
No
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Does your child have any food allergies?
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Your answer
Are there any medical or health concerns?
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Your answer
Terms and Conditions
1. 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, Lighthouse Baptist Church and any persons involved in the Awana Club ministry.
2. 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 well being. I assume responsibility for all costs connected to any accident or treatment of my child.
3. 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.
4. I grant permission for my child to travel to/from Awana Club events with an adult. Any such event will be clearly communicated with me beforehand.
I have read and agree to the Terms and Conditions stated above:
Please write your full name and the date:
(This will count as a signature).
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Your answer
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