Cap City - Awana RegistrationEvery Wednesday @7pm Parent/Guardian Information * First Name Last Name Email Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Home Church Emergency Contact In the event you cannot be reached during club time, please provide the name and phone number of someone we can contact should an emergency occur. Trusted People Please list the names of those (other than parents) who are authorized to pick up your child(ren). Child 1 * First Name Last Name Age * Birthdate * School grade * Name of School Children participating in the Awana program MUST be toilet trained. Please confirm below that this child meets this requirement. * Yes No Please list any allergies this child may have. Please know that we will use food in some of our Awana programming, both as snacks and as craft supplies. Your initials are required before your child/children can participate in the program- even if they have no known allergens or will not be eating during the programming. If your child does not have any allergies, simply put your initials in the box below. * Photography Waiver - Please check "yes" if this child is allowed to be photographed at any point during the event . Please check "no" if this child is not to be photographed at any point during the event. * Yes No Child 2 First Name Last Name Age Birthdate School grade Name of School Children participating in the Awana program MUST be toilet trained. Please confirm below that this child meets this requirement. Yes No Please list any allergies this child may have. Please know that we will use food in some of our Awana programming, both as snacks and as craft supplies. Your initials are required before your child/children can participate in the program- even if they have no known allergens or will not be eating during the programming. If your child does not have any allergies, simply put your initials in the box below. Photography Waiver - Please check "yes" if this child is allowed to be photographed at any point during the event . Please check "no" if this child is not to be photographed at any point during the event. Yes No Child 3 First Name Last Name Age Birthdate School grade Name of School Children participating in the Awana program MUST be toilet trained. Please confirm below that this child meets this requirement. Yes No Please list any allergies this child may have. Please know that we will use food in some of our Awana programming, both as snacks and as craft supplies. Your initials are required before your child/children can participate in the program- even if they have no known allergens or will not be eating during the programming. If your child does not have any allergies, simply put your initials in the box below. Photography Waiver - Please check "yes" if this child is allowed to be photographed at any point during the event . Please check "no" if this child is not to be photographed at any point during the event. Yes No Child 4 First Name Last Name Age Birthdate School grade Name of School Children participating in the Awana program MUST be toilet trained. Please confirm below that this child meets this requirement. Yes No Please list any allergies this child may have. Please know that we will use food in some of our Awana programming, both as snacks and as craft supplies. Your initials are required before your child/children can participate in the program- even if they have no known allergens or will not be eating during the programming. If your child does not have any allergies, simply put your initials in the box below. Photography Waiver - Please check "yes" if this child is allowed to be photographed at any point during the event . Please check "no" if this child is not to be photographed at any point during the event. Yes No Child 5 First Name Last Name Age Birthdate School grade Name of School Children participating in the Awana program MUST be toilet trained. Please confirm below that this child meets this requirement. Yes No Please list any allergies this child may have. Please know that we will use food in some of our Awana programming, both as snacks and as craft supplies. Your initials are required before your child/children can participate in the program- even if they have no known allergens or will not be eating during the programming. If your child does not have any allergies, simply put your initials in the box below. Photography Waiver - Please check "yes" if this child is allowed to be photographed at any point during the event . Please check "no" if this child is not to be photographed at any point during the event. Yes No I am interested in helping: Weekly Every other week Monthly For special events Thank you! We look forward to seeing you at Cap City Awana!
