AWANA REGISTRATION

Child’s Name *
Child’s Name
Birthdate *
Birthdate
Home Address *
Home Address
Parent/Guardian #1 Name *
Parent/Guardian #1 Name
Parent/Guardian #1 Phone *
Parent/Guardian #1 Phone
In case of Emergency
Parent/Guardian #2 Name *
Parent/Guardian #2 Name
Parent/Guardian #2 Phone *
Parent/Guardian #2 Phone
In case of Emergency
In the event that I cannot be reached in an emergency, I hereby give my permission to the physicians or dentists selected by the church leadership to hospitalize, secure proper treatment, and/or order injections, anesthesia, or surgery for my child as deemed necessary. Every activity sponsored by the Tabernacle is carefully planned and adequately supervised by mature adults. However, even with the best of planning and precaution, unforeseen events can occur. By signing this form, the parent/guardian agrees to assume and accept all risks and hazards inherent in transportation to and from the planned activity, and in any possible physical injuries that may be sustained as a result of participating in this activity. They also agree not to hold this church or its employees or volunteers liable for damages, loses, or injuries to the person or property undersigned. The parents or guardians understand that they are signing for the minor listed on this form. I also grant permission to The Tabernacle the right to use, reproduce, and/or distribute photographs, films, and sound recordings of my child, without compensation or approval of rights, for use in materials created for purposes of promoting the activities of The Tabernacle.