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AWANA AT SHBC SIGN UP

 

During the 2018-2019 school year South Harriman Baptist Church is participating in the Awana Clubs! Sparks and T&T clubs are available! Sparks is open for grades K-2 and T&T is open for grades 3-6.

 

Please complete the form below

Clubber's Name *
Clubber's Name
Name of the child attending Awana. A separate registration form must be completed for each individual child.
Address *
Address
Gender *
Clubber's Birthdate *
Clubber's Birthdate
Please list all allergies, dietary restrictions, and medical restrictions below:
Parent or Guardian Name *
Parent or Guardian Name
Parent or Guardian Phone *
Parent or Guardian Phone
Alternate Parent or Guardian Phone Number
Alternate Parent or Guardian Phone Number
Emergency Contact *
Emergency Contact
Please leave emergency contact information other than parent or guardian listed above.
Emergency Contact Phone *
Emergency Contact Phone
If you would like your child to ride the church van/bus please confirm your home is within five miles of the church.
Please confirm your home is within 5 miles of South Harriman Baptist Church
Only for SHBC van/bus riders.
Photo Release *
I give South Harriman Baptist Church permission for photos of my child to appear in an unpublished club directory to be used by Awana leaders only. I also give my permission for photos of my child to appear among other general club photos that will not contain identifying information.