Awana Registration Application FAMILY INFORMATION * is a required field. Please enter 'N/A' in any required fields that are not applicable.Mother's Name* First Last Mother's Cell Phone*Mother's Email* Father's Name First Last Father's Cell PhoneFather's Email Home Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Emergency Contact Name* First Last Emergency Contact Phone*Emergency Contact Relationship to Child(ren)* Does your family attend church on a regular basis?* Yes No Which church do you attend? If not attending a church, indicate "none".* PARTICIPATION REQUIREMENTSParent VolunteersFamilies who do not attend Grace are required to partner with us by having at least one parent volunteer in AWANA once or twice a month. Please choose your availability below.I agree to volunteer in Awana*I agree to volunteer in Awana Yes No N/A - I attend Grace Volunteer Availability* Once a month 2 times a month 3 times a month 4 times a month N/A - I attend Grace Friday Availability 1st Friday of the month 2nd Friday of the month 3rd Friday of the month 4th Friday of the month No preference, assign me where needed most Volunteering*If you are not able to fulfill the volunteer requirement, please indicate the reason(s) why below. Enter 'N/A' if you have already agreed to volunteer. Parent SupportChildren memorize Bible verses and complete sections in their handbook each week. Parents/Guardians are expected to support those efforts by helping children prepare at home and also having children bring their uniform, handbook and Bible to Awana meetings. Parent volunteers have a key role in helping to ensure that each Awana meeting runs smoothly.Parent Support Agreement*By typing my name below, I'm stating that I have read and agree to help my child/children at home with their handbook and memory verses to insure that they are prepared for each Awana meeting. Child Safety / Sickness PolicyIn an effort to keep the children safe, they should wear tennis shoes or closed toe shoes to avoid injury during game time. Children should not attend AWANA if they're feeling ill and/or have a fever. Children should be fever-free for 24hrs without the aide of medication before attending.Child Safety / Sickness Policy Agreement*By typing my name below, I'm stating that I have read and agree to abide by the child safety / sickness policy. DisciplineAWANA is a structured program that requires cooperation between children and leaders. Behavior such as a child frequently distracting other children from the goals of AWANA will be addressed with the family. We have a strict 'no hitting' policy. If a child deliberately hits another child or adult, parents will be notified to come pick up their child. The child will be asked to miss 2 AWANA meetings following the incident.Discipline Policy Agreement*By typing my name below, I'm stating that I have read and agree to abide by the discipline policy. Attendance*Do you plan on attending the full AWANA year from September 2022 thru May 2023? STUDENT INFORMATION * is a required field. Please enter 'N/A' in any required fields that are not applicable.Child #1 Name* First Last Child #1 Age* Child #1 Date of Birth*Please be sure to enter the correct birth year. Month Day Year Child #1 Gender* Female Male Child #1 Grade (FALL 2022)* Child #1 has attended AWANA before?* Yes No Child #1 has current AWANA uniform?* Yes No n/a - first time in AWANA Child #1 has handbook they're finishing?* Yes No n/a - first time in AWANA Child #1 t-shirt size*Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeToddler - 2TToddler - 3TToddler - 4TToddler - 5TChild #1 Allergies and/or Medical Conditions* Child #2 Name First Last Child #2 Age Child #2 Date of BirthPlease be sure to enter the correct birth year. Month Day Year Child #2 Gender Female Male Child #2 Grade (FALL 2022) Child #2 has attended AWANA before? Yes No Child #2 has current AWANA uniform? Yes No n/a - first time in AWANA Child #2 has handbook they're finishing? Yes No n/a - first time in AWANA Child #2 t-shirt sizeYouth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeToddler - 2TToddler - 3TToddler - 4TToddler - 5TChild #2 Allergies and/or Medical Conditions Child #3 Name First Last Child #3 Age Child #3 Date of BirthPlease be sure to enter the correct birth year. Month Day Year Child #3 Gender Female Male Child #3 Grade (FALL 2022) Child #3 has attended AWANA before? Yes No Child #3 has current AWANA uniform? Yes No n/a - first time in AWANA Child #3 has handbook they're finishing? Yes No n/a - first time in AWANA Child #3 t-shirt sizeYouth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeToddler - 2TToddler - 3TToddler - 4TToddler - 5TChild #3 Allergies and/or Medical Conditions Registration Fee Puggles (2yrs old): $15 per child 3yrs old thru high school: $30 per child Maximum $90 per family Medical Release FormIf your child does not already have a 2022/2023 medical release form on file, you will need to complete a separate medical release form for each registered child. You can download this form by copying and pasting the following code to a web browser and entering it: https://insidegrace.org/uploads/MediaLibrary/MedicalWaiver/gcbc_medical_waiver_2022_2023_2.pdfCOVID-19 AgreementAcknowledgment of Risk & Assumption of Liability (COVID-19): -I acknowledge not to send my child (or an adult) to AWANA if they are feeling unwell and experiencing any unusual, negative health symptoms. -I acknowledge not to send my child (or an adult) to AWANA if they are experiencing COVID-19 symptoms, such as: fever (100.4 or greater), coughing, or shortness of breath). -I acknowledge that I am required to screen my child (& adult) at home each evening before sending them to VBS, to ensure body temperature is no greater than 100.4 degrees. -I acknowledge not to send my child (or an adult to AWANA if they have been in recent contact with someone who has tested positive for COVID-19. -I acknowledge the contagious nature of COVID-19. I am aware of the possible risk that my child may be exposed to or infected with COVID-19 by their participation in AWANA. -I assume all risks and responsibility of possible injury to my child or myself in relation to my child's participation in AWANA. -I release GCBC, the Children's Ministry, all staff members, leaders, & volunteers from any claim, liability, action, damages, or expenses that may come from possible COVID-19 exposure. COVID-19 AGREEMENT*By typing my name below, I'm stating that I will not hold Grace Community Bible Church responsible for any medical issues that may arise from my child's participation in AWANA activities. Media ReleaseOn occasion, GCBC uses photos & videos on the church website, newsletters to families, etc. (GCBC will never identify minors by name when photos are online). Media Release/Photo Content Yes, I authorize No, I do not authorize FileMax. file size: 600 MB.Untitled First Choice Second Choice Third Choice
