CHBC AWANA CLUB REGISTRATION

Please fill out the form below to register your children for AWANA Club at CHBC.
Payment can be made after clicking the submit button at the bottom of the page or bringing cash/check to the first AWANA Club Night.
$47/per child

AWANA at CHBC meets on Tuesday evenings from 6:15-8pm.


Parent/Guardian Information
Name *
Name
Address *
Address
Phone *
Phone
Please list all doctors with phone numbers if you have multiple children who see different doctors.
Child 1 Information
Please fill out the following information for your child's registration.
Child's Name *
Child's Name
Child's Birthday *
Child's Birthday
Child's Gender *
Please list all that apply.
Child 2's Information
Please fill out the following information for your child's registration.
Child 2's Name
Child 2's Name
Child 2's Birthday
Child 2's Birthday
Child 2's Gender
Please list all that apply.
Child 3's Information
Please fill out the following information for your child's registration.
Child 3's Birthday
Child 3's Birthday
Child 3's Gender
Please list all that apply.
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, there is a risk of injury. I fully accept this risk and hold harmless from any legal liability, Crow Hill Bible Church and any persons involved in the Awana Club 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 Club volunteers to secure the services of a licensed physician to provide care necessary for my child/children's well being. I assume responsibility for all costs connected to any accident or treatment of my child/children. I grant permission for a photo of my child/children to appear in an unpublished club directory to be used by Awana leaders only. I also give permission for photo(s) of my child/children to appear among other CHBC photos as long as there is no identifying information shown. I have read and agree to the terms and conditions stated above. Please type your name below to serve as an e-signature for confirmation.