HTC Awana - 2021-2022 Registration

Child's Information: Please complete a separate form for each child you wish to enroll in HTC Awana's T&T Club (3rd-6th grade). **The Cubbies Club (PreK) and the Sparks Club (K-2nd grade) are currently full. Please email htcawana@att.net to add your child to a waiting list**

Child's Name

Child's Home Address

Child's Home Phone

Child's Date of Birth (MM/DD/YY)

Child's School

Child's Grade & Awana Club

3rd Grade - T&T 4th Grade - T&T 5th Grade - T&T 6th Grade - T&T

Child currently lives with:

Both Parents Mother Father Other

Is Child currently attending church?

Yes Not right now

If yes, where?

Allergies/Medical needs

#1 Parent/Guardian Information

Name

This address will receive a confirmation email

Cell Phone

#2 Parent/Guardian Information

Name

Cell Phone

I, the parent/guardian of the above mentioned Child, understand that my son/daughter is responsible for learning and following the rules & regulations created by the church and adult leaders in order to participate in any children’s activities during the dates included on this release form. It is expressly understood by this parent/guardian that the above named minor is in a condition of health that warrants his/her participation in the scheduled activities during the dates included on this release form, and that an adult leader of these activities is hereby granted permission to take the named minor to a medical doctor for examination & treatment of any accident or illness that may arise during any activities attended. In consideration of this acceptance, said church, its agents, and employees are hereby released and relieved from all liability for accident & injury to said minor arising from any and all activities & events for which this release form is applied. I also hereby consent to the use of any video tape, photographs or other visual or audio reproduction in which my child may appear by Harbor Trinity Church. I understand that these materials are being used for promotion of the ministry of Harbor Trinity Church. I release Harbor Trinity Church from liability connected with the use of my child’s picture or voice recording as part of any promotional or recruitment program.

I Agree

HTC Awana - 2021-2022 Registration

Description

Please Fix the Following