AWANA Registration

    2021-2022 AWANA Registration Form

    AWANA Begins September 12 for children age 3 (by September 1) through 6 grade.

    Registration fees

    • CBC Member Registration fees: 1st Child $25; Siblings $20 each.
    • Non-Church Member Registration fees: 1st Child $45; Siblings $40 each

    To pay online, visit www.crowfieldbaptist.com/give.

    Child's Name

    Child's Last Name (if different from parents)

    Parent's First Name(s)

    Contact Information

    Street Address

    City, Zip Code

    Primary Phone

    Parent Cell Phone

    Email

    Home Church

    Emergency Contact

    Emergency Contact Name #1

    Phone for Contact #1

    Emergency Contact Name #2

    Phone for Contact #2

    Doctor's Name

    Doctor's Phone

    Who will pick up child on a weekly basis? (Must be 18 years old or older)

    Children Information

    Date of Birth

    Grade

    List all allergies

    List Major Illnesses

    List Regular Medications

    T-shirt size

    Cubbies Vest (3 year old & Pre-Kindergarten):
    SMLXLXXL

    Sparks Vest (K5 - Grade 2):
    SMLXLXXL

    T&T Shirt (Grades 3-6):
    YSYMYLASAMALAXL

    I, as parent/guardian with legal responsibility for child listed on this form, hereby grant Crowfield Baptist Church the perpetual right to use photographs or video taken of my child/dependent for any legitimate purpose without compensation to my child/dependent, myself, or my child’s/dependent’s heirs, executors, or assigns. Legitimate purpose may include, but are not limited to, advertising on the web, in newspapers, magazines, internal publications, displayed prints, worship services special events, curriculum, etc...
    I agreeI disagree
    As parent/guardian, I will do my part to ensure my clubber understands and follows the rules and expectations. As a parent/guardian, I also have the responsibility to help my child at home with their hand books.