First Baptist Church of Homestead

AWANA CLUBS WILL BEGIN WEDNESDAY, AUGUST 23rd

Your child must be 3 years old by 9/1/2023 (Born on or before 9/1/2020) to be in Cubbies. All other Clubs follow school grades (i.e. Sparks is for clubbers in K5-2nd Grade),

Cubbies must be potty trained.

New FBCH Awana Registration

Household Information

Parent/Guardian #1 *

Relationship

Parent/Guardian #2

Relationship

Address *

City *

State *

Zip *

Enter alternate address for Parent/Guardian#2

Phone# *

Receive Texts?

List others authorized to pickup your child (must be 18 or Older)*

If only you or your spouse can pick up your child(ren) then please type “No One”

What church do you attend?*

Church attendance is NOT required. Enter NONE if you don't attend a church.

During meetings, I will normally be at*

Please list any allergies or medical concerns that your child’s leader needs to be aware of. If none, please indicate with “N/A”*

List anyone NOT authorized to pick up your child(ren)*

Email Address

Child Information

FBCH offers Cubbies through T&T Challengers (K3-6th grade) for Awana Clubs. Our church does offer a great Youth Ministry for 7th-12th Grade that meets at the same time as Awana.

First Name*

Last Name*

Gender*

Grade for 2023-24*

Birthdate*

Special Notes

Please enter any special notes that we should know about your child. For example, allergies, special instructions, etc.

Medical Release & Liability Waiver: As a parent/legal guardian, I give my permission for the above minor to attend Awana activities including regular club nights and any special activities from September 2, 2020 to May 26, 2021. I authorize treatment under the direction of any licensed physician of the above minor in the event of a medical emergency which in the opinion of the attending physician may endanger his or her life, cause disfigurement, physical impairment or undue discomfort if delayed. This authority is granted after reasonable effort has been made to reach me by phone. I will not hold the church, or their staff, administration, workers, or volunteers liable for any illness, injury to, or loss of possessions by the above minor or my family during, or as the result of, any activity either on the church property or away, including regular meetings as well as special events.

YES, I give permission as stated above for my child regarding medical care and agree to above liability waiver information.

In lieu of your signature, please enter your initials:

Any clubber who does not have a signed Medical Release & Liability form on file will not be allowed to participate in Clubs until such release is signed.

Photo Release: Photographs are sometimes taken of Awana ministry activities for publicity and promotional purposes, which include, but are not limited to, in-house presentations, church web site, brochures and newsletters. By signing below, you are granting the church to use photographs of the above mentioned minor(s) as stated.

YES, I grant permission for use of photographs of my child as stated above

NO, I do NOT authorize use of photographs of my child

In lieu of your signature, please enter your initials:

Shirtsize*

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