Awana 2018-2019 Registration Form

Please fill out this form (one for each child you wish to register) and click submit.

Child's Name (please complete one form for each child from your household that you are registering, Ages 3 1/2-6th Grade)

Gender

Please select one option.

Male Female

Birthdate (MM/DD/YYYY)

Grade (2018-2019 School Year)

Address

Parents/Guardian

Home Phone

Work Phone

Cell Phone

This address will receive a confirmation email

List names and phone numbers of other adults authorized to drop off/pick-up your child:

Emergency Contact & Relationship to Child

Emergency Contact Phone

Name of Home Church

Special Needs: (learning, behavior, diet, medical, allergies) What can we do to help with these needs?

Please select one option.

Yes No

If yes, please share about these special needs:

I give permission for my child's image to be used in any ECC publication promotional materials or slide shows, including the ECC website. (By clicking yes, you are providing your electronic signature).

Please select all that apply.

Yes No

My child has a current liability waiver form on file with ECC signed in June 2018 (good until 8/31/19). If you have not signed a form since last August 2017, you need to sign a new one. (If no or you are unsure, please contact the church office.)

Please select one option.

Yes No I'm not sure.

I will respect my child's leader by promptly picking up my child by 7:30pm and I understand that I must drop off/pick up my child in their assigned areas. (By clicking yes, you are providing your electronic signature).

Please select all that apply.

Yes, I agree. No

I agree to pay $30 for this child to participate in Awana (whether in Cubbies, Sparks or T&T) on the first night of attendance.

Please select all that apply.

Yes No

I know that adult participation is vital to the Children's Ministry at ECC and would like to help serve. I am interested in the following: (please select all that apply)

Please select all that apply.

Cubbies: Preschool Helper Elementary Small Group Leader Elementary Bible Verse Listener Awana Store Helper

Description

Please fill out this form (one for each child you wish to register) and click submit.

Awana 2018-2019 Registration Form

Description

Please Fix the Following