This form is for AWANA Clubbers who are GIRLS in THIRD through FIFTH grades during the 2019-2020 school year only. If your child is not a GIRL in THIRD through FIFTH grades, please find and complete the appropriate form for her grade.
REMINDER: Fill out all information applicable for the 2019-2020 school year!
Parent/ Guardian Information
Emergency Contact In Case Parent Cannot Be Contacted
Please read each of these sections carefully and click "I agree" before continuing. Clubbers who do not have the first two sections checked will not be able to participate fully in AWANA activities. By checking the box, you are giving your electronic signature that you are authorized to accept on behalf of the above child and agree to the Terms and Conditions.
I herby give my child permission to participate in any and all AWANA physical activities such as those held during Game Time. As with any physical activity, there is risk of injury. I fully accept this risk and hold harmless from any legal liability Trinity Baptist Church and any person involved in the AWANA ministry.
I give permission for AWANA volunteers to administer first aid to my child. In the event of an emergency that requires medical treatment of the above named child, I understand every effort will be made to contact me or my emergency contact. However, if I/ we cannot be reached, I hereby authorize AWANA volunteers to consent on my behalf for any emergency services or medical care by a licensed physician or hospital that is necessary for my child’s well being. I agree to abide and be bound by such decisions and consents as if made by me. I further authorize any physician, hospital, or medical attendant to receive full and complete medical reports or information deemed necessary with respect to the treatment of my child listed above. Execution of this document shall operate as an authorization for such person to receive any medical information which they require. Furthermore, I assume all costs connected to any accident or treatment of my child.
I grant permission for a photo of my child to appear in an unpublished club directory to be used by AWANA leaders only. I also grant permission for photos of my child to appear among other general club photos on Trinity Baptist Church’s web page, printed material, or other church media as long as there is no identifying information shown.