Awana Registration

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Awana Registration

Child's Name *

Gender *

Boy

Girl

Date of Birth *

YYYY

Grade (For 2022-2023 School Year) *

Name of Parent(s) or Legal Guardian *

Full Mailing Address of Child *

Telephone Number (Please indicate if we can text this number) *

Parent/Guardian(s) Email Address *

Emergency Contact (Please indicate if same as above)

Home Church *

Alternative Pickup Name & Phone Number *

Is there anything specific you would like us to know about your child?

Does your child have any alergies or medical conditions we should be aware of? If so, please list them here. *

I understand that I must bring Health Form *

Yes

Required

I do hereby either grant or deny permission to Fairview United Methodist Church to use the image of my child as marked by my selection below. Such use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of my child for use in materials that include, but may not be limited to, printed materials such as brochures and newsletters, videos, and digital images such as those on the FUMC and/or Remedy website or social media.

Deny permission to use my child’s image.

Grant permission to use my child’s image in print, video, and digital media. I agree that these images may be used by Fairview United Methodivariety of legally permissible purposes; and that these images may be used withoutst Church for a further notifying me.

Option 5

Clear selection

We are still looking for Awana Volunteers! Would you be willing to volunteer?

Yes, I would be happy to learn more information about volunteering for Awana.

No, I will not be able to volunteer.

Maybe

Clear selection

Submit

Clear form

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