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New Awana Registration

Household Information

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Child Information

Please enter any special notes that we should know about your child. For example, allergies, special instructions, etc.
Medical Release: As a parent/guardian, I give my permission for the above minor to attend Awana activities including regular club nights and any special activities from September 4, 2019 to May 1, 2020. I authorize treatment under the direction of any licensed physician of the above minor in the event of a medical emergency which in the opinion of the attending physician my endanger his or her life, cause disfigurement, physical impairment or undue discomfort if delayed. This authority is granted after reasonable effort has been made to reach me by phone. I will not hold the church, or their staff, administration, or workers, liable for any injury to or loss of possessions by the above minor during any activity either on the church property or away, including regular meetings as well as special events.

YES, I give permission as stated above for my child regarding medical care
NO, I do NOT give permission for my child to receive medical care
Unknown (Parent not present)

In lieu of your signature, please enter your initials:
September 9, 2020
Photo Release: Photographs are sometimes taken of Awana ministry activities for publicity and promotional purposes, which include, but are not limited to, in-house presentations, church web site, brochures and newsletters. By signing below, you are granting the church to use photographs of the above mentioned minor(s) as stated.

YES, I grant permission for use of photographs of my child as stated above
NO, I do NOT authorize use of photographs of my child
Unknown (Parent not present)

In lieu of your signature, please enter your initials:
Covid-19 Release: COVID-19 has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and as a result, social distancing is recommended. Edgewood Bible Church AWANA program will follow state and local standards of conduct and has put in place reasonable preventative measures to reduce the spread of COVID-19 at its weekly meetings. This includes but is not limited to the requirement of face coverings when social distancing is not possible, hand-washing and hygiene protocols, sanitation of surfaces between meetings and short term closures by suspected and confirmed cases involving any of our leaders volunteers or children. However, even though such standards will be followed and reasonable measures put into place, Edgewood Bible Church AWANA program cannot guarantee that your child(ren) will not become infected with COVID-19. Further, attending AWANA club activities could increase your risk and your child(ren)'s risk of contracting COVID-19. By signing this agreement, I understand the risk of becoming exposed or infected by COVID-19 at Edgewood Bible Church AWANA may result from actions, omissions or negligence of myself and others including but not limited to, Edgewood Bible Church AWANA leaders, volunteers and program participants and their families. Considering the foregoing, however, I grant permission for my child to participate in AWANA activities.

YES, I consent to the above
Unknown (Parent not present)

In lieu of your signature, please enter your initials:
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