Awana Registration & Permission Authorization Step 1 of 3 33% Contact InformationParent(s)/Guardian(s)(Add rows as needed by clicking the +)First NameLast Name Add RemoveAddress Street Address City Zip Code Email Home PhoneCell Phone #1Cell Phone #1 Belongs To:Cell Phone #2Cell Phone #2 Belongs To:Do you have a church that you would call your home church?(If yes, please indicate below.)How would you describe your church attendance? Attend Regularly Attend Occasionally Seldom Attend Never Attend Family InformationChild(ren)(Add rows as needed by clicking the +)First NameLast NameBirthdateCurrent AgeCurrent GradeHealth Concerns Add RemovePlease list any additional siblings(Add rows as needed by clicking the +)First NameAge Add Remove Drop-off & Pick-up ProcedureA parent, guardian, or authorized adult must bring the child(ren) INSIDE the church building when arriving and meet the child(ren) INSIDE the church building when departing unless permission is given below for the child(ren) to walk to and from the church building. Please select one option below:Option #1 I will be responsible to drop-off and pick-up my child(ren) inside the church building. If I am not able to do so, I give permission for the following individual(s) to do so: (Add rows as needed by clicking the +)If I am not able to do so, I give permission for the following individual(s) to do so: (Add rows as needed by clicking the +) Add RemoveOption #2 I will take responsibility for my child(ren) to walk from my home to the church building and back home again. My child can walk by him/herself. My child must be accompanied by: (please indicate) (Add rows as needed by clicking the +)(Add rows as needed by clicking the +) Add RemovePhotosI give permission to photograph my child(ren)/family for church purposes (website, Facebook, photo albums, etc.):I give permission to photograph my child(ren)/family for church purposes (website, Facebook, photo albums, etc.): Yes No Completed By: First Name Last Name Date Δ
