Awana Clubs Registration

Child's First Name

Child's Last Name

Birth Date

Grade

Address 1

Address 2

Country

City

State

Zip/Postal Code

School Child Attends

Church that you regularly attend and/or are a member of:

Photographs are sometimes taken of AWANA ministry activities for in-house presentations and the Children’s Ministry Web Page. Children’s names or information are never used without specific permission. By signing this area, you are releasing Sullivan Baptist to use photographs of your child as stated above.

Type name of Parent/Guardian and date to consent

T-Shirt Size:

Mother's First Name

Mother's Last Name

Phone Number

Email Address

Address 1 (If different from child)

Address 2

Country

City

State

Zip/Postal Code

Church that you regularly attend and/or are a member of (if different than child):

Father's First Name

Father's Last Name

Phone Number

Email Address

Address 1 (If different from child)

Address 2

Country

City

State

Zip/Postal Code

Church that you regularly attend and/or are a member of (if different than child):

When parents cannot be reached, list one person who may be contacted to pick up the child in an emergency:

First Name

Last Name

Relationship to Child

Phone Number

Please list any allergies or medical conditions we should know about and if child has an EpiPen:

In EMERGENCIES requiring immediate medical attention, your child will be taken to the NEAREST HOSPITAL EMERGENCY ROOM. Your signature authorizes the responsible person from Sullivan Baptist Church in Kingsport, TN to have your child transported to that hospital and receive treatment.

Signature of Parent/Guardian & Date

Submit

Use the give button below and click the drop down titled "Awana" to conveniently finish your registration.
Suggested annual donation per child is $30, $15 for the second child, and $10 for additional children.

Awana Clubs Registration

Service Times

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Contact Info