AWANA Registration 24-25

Parent Information

First Name

Last Name

Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

First Name

Last Name

Gender

Birthdate

Grade

Allergies

In addition to registering parent. Parent will be called for emergency first.

First Name

Last Name

Phone Number

Medical Consent

This form gives permission to seek emergency medical attention if deemed necessary, and releases Oak Grove Baptist Church ("the Church") and its staff of any liability against personal losses of named child(ren). I the undersigned have legal custody of the student named above, a minor, and have given my consent for him/her to attend the AWANA program. I understand that there are inherent risks involved in any ministry or athletic event, and I hearby release the Church, it's pastors, employees, agents, and volunteer workers from any and all liability for an injury, loss, or damage to person or property that may occur during the course of my child's involvement. In the event that he/she is injured and requires emergency medical attention, I agree to hold such persons free and harmless of any claims, demands, or suits for damages arising from the giving of such consent. I also acknowledge that I will be ultimately responsible for the cost of any medical care. I also agree to bring my child home should they become ill or if deemed necessary by the ministries' staff members.

Signature

Photo release

I understand that my signature below grants permission for the Church to photograph the student participant during activities and to use the photographs in audio-visual and printed materials without compensation or approval rights. These photographs may be used in any medium under the control of the Church, with the understanding that the Church will not attach names to the students in the photographs/videos. I understand that the photographs taken by the Church will be included into stock files. I agree that the photographs/videos, the transparencies thereof and the rights to copyright the same, shall be the sole property of the Church, with full right to lawful disposition in any manner.

Signature