Faith Bible Church - Register Clubber

Welcome to online registration

New Awana Registration

Household Information

Parent/Guardian #1 *

Relationship

Parent/Guardian #2

Relationship

Address *

City *

State *

Zip *

Enter alternate address for Parent/Guardian#2

Phone# *

Other Emergency Contacts (include phone numbers)

Please include a phone# and name for each of your Other Emergency Contacts.

List others authorized to pickup your child

What church do you attend?

Church attendance is NOT required. Enter NONE if you don't attend a church.

Website Login

I don't have an email address

Email *

Alternate Email

New password *

Please enter a password you'd like to use to login to this site.

Clubber Information

First Name*

Last Name*

Gender*

Grade for 2024-25*

Birthdate*

Invited by

Special Notes

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 2024 to May 2025. 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

In lieu of your signature, please enter your initials:

Delete

Add another Clubber