2018-2019 AWANA Cubbies Registration (Ages 3-5)

This form is to be completed before your child participates in Trinity AWANA on Wednesday nights. Please complete it and click submit. You will receive a confirmation email shortly.
This form is for AWANA Clubbers who are ages THREE to FIVE during the 2018-2019 school year only.Children should turn THREE before September1 and not be enrolled in Kindergarten. If your child is not age THREE to FIVE, please find and complete the appropriate form for his or her age.
 
Clubber Information

 
 
Please select one option.
Please select one option.
 
 
 
 
 
 
 
 
 
 
Parent/ Guardian Information

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Please select one option.
 
Please select all that apply.
Please select all that apply.
Emergency Contact In Case Parent Cannot Be Contacted

 
 
 
 
Authorization to Pick Up

 
 
 
 
Terms & Conditions

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.
Physical Activity

I understand that my child may participate in 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.
Please select all that apply.
Medical Care

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 obtain consent to on my behalf any emergency services or medical care by a licensed physician or hospital to provide the care necessary for my child’s wel being. I agree to abide and be bound by such decisions and consents as if made by me. I further authorize any physicaian, 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.
Please select all that apply.
Photographs

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.
Please select all that apply.

Description

This form is to be completed before your child participates in Trinity AWANA on Wednesday nights. Please complete it and click submit. You will receive a confirmation email shortly.