Awana

Every Tuesday Until April 23 at 6:55 pm | Midvalley Bible Church

Awana is a kids discipleship program. Join us Tuesdays from 6:55 – 8:30 PM. Sign up here.

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Contact Email *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Street Address *

City *

Zip / Post Code *

Cell Phone Number *

What is Your Home Church? *

Emergency Contact Name *

Emergency Contact Phone Number *

Child First Name *

Child Last Name *

Child Birthdate *

Gender *

Male
Female

Need Workbook?

Need Uniform?

Attended Another AWANA Club?

List Child Allergies or Food Limitations *

List Any Special Needs or Physical Activity Limitations *

OPTIONAL PHOTO RELEASE

I grant permission for photo(s) of my child/children to be used for publicity in promotional purposes, which include in-house presentation, the Midvalley Bible Church website, brochures, and newsletters. further, I understand that no personal/identifying information of my child will appear with photos available to the public.

I accept the photo release

TERMS & CONDITIONS

I understand that my child/children may participate in physical activities such as those held during game time. As with any physical activity, I understand that there is a risk of injury. I fully accept this risk and hold harmless from any legal liability, Midvalley Bible Church, it's representatives and any persons involved in the AWANA ministry.

In the event of an emergency that requires medical treatment for the above named child/children, I understand that 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 for my child's well-being. I assume full responsibility for any and all costs, medical or otherwise, incurred in connection to any accident or treatment of my child.

I grant permission for a photo of my child/children to appear in an unpublished club directory for use by AWANA leaders only.

I accept the terms & conditions *

If you have questions or want to know more contact Jagger Woodyatt at jaggerwoodyatt@gmail.com.