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Awana Registration

Participant Name

Birthday

Gender

A
B

Grade this year

A
B
C
D
E
F
G
H

Parent/Guardian Name(s)

Address

Parent Cell Phone

Parent Email

Are there any allergies, medical, or special needs?

Emergency Contact

Do you attend church?

A
B

If so, where?

Awana is a planned, supervised program of our organization. It will be conducted in a safe, orderly manner to the best of our knowledge and abilities. However, neither OBC nor any representative thereof may be held liable for anyone attending or taking part in the above activity. OBC retains the right to decline or discontinue anyone's participation in this event at any time and at OBC's sole discretion.
We assure you that normal precautions will be taken to ensure the safety of everyone that participates. You and/or your child must, however, come at your own risk, and you, individually and/or as a parent or guardian of a minor attending the activity, assume all risks on behalf of yourself and the child and release, shall indemnify, defend, and hold harmless OBC and it's representatives from all liability to the fullest extent permissible by law.
The undersigned understands and agrees that in case of emergency, the undersigned authorizes any medical treatment necessary for the health and safety of the undersigned and the undersigned child. Any unmarried person under the age of 21 must have a parent or guardian sign.
NOTE: During the event, images of you or your child may be captured through video, photo, or digital camera, to be used solely by OBC for purposes of OBC promotional material and publications, including website and similar postings. If checked below, you signature hereunder represents specific permission for such use, a waiver of any claims or causes of action against OBC and its representatives and a waiver of any rights of compensation or ownership thereto.

Photo Permission

A
B

Parent Signature

Signature
If you wish to contribute towards the costs of Oakwood's Awana program, a $10 per child or $25 per family donation is appreciated. Checks may be made to Oakwood Baptist Church or a donation may be given online on the church website (please choose Awana from the fund options). Thank you!