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. I agree Δ