Awana 2016

Gender
Select Awana Group
Gender
Select Awana Group
Gender
Select Awana Group
Gender
Select Awana Group
Gender
Select Awana Group
Parent/Guardian Name *
Parent/Guardian Name
Phone *
Phone
Address
Address
(if applicable)
Authroized to pick up child(ren) other than self. *
Authroized to pick up child(ren) other than self.
Emergency Contact *
Emergency Contact
Emergency Phone *
Emergency Phone
As a parent/legal guardian of the children registered for Awana on this form, I authorize the administration of emergency medical treatment for them during this year-long program. I understand that all reasonable safety precautions will be taken at all times by Christ’s Church and/or its agents. I also understand that in the event of a medical emergency, every attempt will be made to contact me, and/or any other emergency contact people listed below immediately. I will not hold Christ’s Church or its agents liable for any accident, injury, or disease incurred to/by my child(ren) while they are attending this school year-long program. INCLUDE FIRST AND LAST NAME AS ELECTRONIC SIGNATURE *
As a parent/legal guardian of the children registered for Awana on this form, I authorize the administration of emergency medical treatment for them during this year-long program. I understand that all reasonable safety precautions will be taken at all times by Christ’s Church and/or its agents. I also understand that in the event of a medical emergency, every attempt will be made to contact me, and/or any other emergency contact people listed below immediately. I will not hold Christ’s Church or its agents liable for any accident, injury, or disease incurred to/by my child(ren) while they are attending this school year-long program. INCLUDE FIRST AND LAST NAME AS ELECTRONIC SIGNATURE
(Medical Emergency - Include name to verify acceptance)
I hereby authorize Christ's Church Federal Way, hereafter referred to as “Company,” to publish photographs taken of myself and/or the minor child or children listed and our names and likenesses, for use in the Christ's Church's print, online, social media and video-based marketing materials, as well as other Company publications. I hereby release and hold harmless Christ's Church from any reasonable expectation of privacy or confidentiality for myself and for the minor child and children listed associated with the images specified above. Further, I attest that I am the parent or legal guardian of the child or children listed and that I have full authority to consent and authorize Christ's Church to use their likenesses and names. I further acknowledge that participation is voluntary and that neither I, the minor child, or minor children will receive financial compensation of any type associated with the taking or publication of these photographs or participation in company marketing materials or other Company publications. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever. I hereby release Christ's Church, its contractors, its employees and any third parties involved in the creation or publication of Company publications, from liability for any claims by me or any third party in connection with my participation or the participation of the minor children listed. *
(Photo Permission)
We encourage Godly communication between leaders and clubbers. The content must be limited to club information, encouraging the clubber to progress in their Awana handbook, and encouraging their spiritual development. No communication between leader and clubber is acceptable without prior parental/legal guardian consent. Permitted communication is limited to public forums on social network sites, and phone calls where the parent is informed as to the content of the call. No direct private messages are allowed. I give permission to Awana leaders from Christ’s Church to have contact with my child(ren) on the phone and/or through public forms of social networking sites.
(Social Communication)