2025- 2026 AWANA Clubs of Christ First Baptist Church Registration

Parent/Guardian Name

Address

Phone #

Emergency Contact Name

Emergency Contact Phone #

1st Child's Full Name

List any Allergies

2nd Child's Full Name

List any Allergies

3rd Child's Full Name

List any Allergies

4th Child's Full Name

List any Allergies

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YES

Being the legal guardian of the minor(s) named herein, I give permission for the minor(s) to attend and participate in all AWANA sponsored events, activities, and outings, sponsored by Christ First Baptist Church of Minooka between September 28, 2025 through March 15, 2026 and relieve Christ First Baptist Church of Minooka of all liability in the event of an accident. I hereby give Christ First Baptist Church of Minooka and/or its sponsors the authority to secure any medical and/or surgical treatment for the minor(s) that is determined necessary in the event of an emergency, sickness, or accident. I shall be liable and agree to pay all costs and expenses incurred in connection with all medical and dental services rendered to the aforementioned minor pursuant to this authorization. Should it be necessary for the minor(s) to return home due to medical reason(s) or otherwise, I shall assume all transportation costs. I give permission for the minor(s’) picture to be used in church publications such as but not limited to: newsletters, social media, and the church’s website. All pictures used in church publications will not include the minor(s’) name or age.

I AGREE

2025- 2026 AWANA Clubs of Christ First Baptist Church Registration

Description

Please Fix the Following