home        contact us        job openings     Find FBCJ on Facebook    

Awana Registration Form

Pre-registration for the 2010-11 Awana year has begun. A registration form, including medical release, must be submitted for each child for the new year. You may register your child now using our convenient online registration form (below) -- or if you prefer, you may download a printable (PDF) version of the registration form, complete it, sign it and turn it in to the church office or the Awana check-in counter.

To register your child now (age two through sixth grade) for Awana, please complete and submit the following form (please submit a separate form for each child):

Child's Full Name:


Gender: Male    Female

Current Age:


Birth Date (xx-xx-xxxx):


School Grade (Fall 2010):


Parent(s) or Guardian(s):


Street Address:


City, State and Zip Code:


Home Phone (including area code):


Cell Phone (including area code):


Home Email Address:


Emergency Contact Person (name AND phone number):


Known Allergies:


Additional Medical Information:


Church You Attend:


Clothing Size:


PERMISSION AND MEDICAL RELEASE (REQUIRED)

YES, I /We give permission for my/our child to attend Awana Club at First Baptist Church of Joelton, TN for the duration of the current club year. I / We further give permission for my/our clubber's Awana leader to contact him/her via the phone or through the mail as it pertains to club functions or concerns. I / We also give permission for photos of my/our child to be used in church media and promotional materials. (NOTE: This box must be checked in order for your child to participate.)

IN CASE OF EMERGENCY - It is the policy of First Baptist Church Joelton, in the case of illness, accident or other emergency affecting any boy or girl attending a church function or activity, to make reasonable attempt to promptly contact the parent or guardian. It is required that inidicate

YES, I / We do hereby authorize First Baptist Church Joelton, its representative, to select transportation to their chosen licensed physician who may use upon and administer to the said child while attending him/her: x-ray examination, anesthetic, medical; or surgical diagnosis or treatment, order injections, or hospitalize, as in the opinion of such physician is deemed necessary or advisable.(NOTE: This box must be checked in order for your child to participate.)

VERIFICATION (TO PROTECT AGAINST FORM SPAM):

What's Going On at FBCJ?

Copyright © 2006-10 First Baptist Church Joelton.  All rights reserved.  Web site by McBride Design.