FBC Buda Awanas will be held every Wednesday, beginning in September from 6pm to 7:30pm.

Please fill out the following basic information so that we can reach you in case of emergency. You may also print the registration form here, complete it, and email it to fbcbuda@austin.rr.com.

Awana Registration and Contact Information Form

    Parent E-mail:

    Child's Name:

    Child's Age:

    Child's Birthdate:

    Child's Grade:

    My child will participate in the following club: (please select one)

    Home Telephone:

    Address:

    Parent/Guardian #1 (Required)

    Parent/Guardian #2 (If Applicable)

    Emergency Contact 1: Name & relationship to child (Required)



    Emergency Contact 2: Name & relationship to child (If Applicable)



    Individual(s) authorized to pick up your child:

    May we have permission to photograph your child? (Photos will only be used in church presentations.)
    YesNo

    My child has my permission to participate in the AWANA Games hosted by First Baptist Church in Buda, Texas.
    YesNo

    Allergies

    Medications

    Name of Child's Physician

    Physician's Phone Number

    Designated Hospital for Child

    Insurance Provider Covering Child

    Insurance Policy Number Covering Child

    Physical Impairments, Chronic Illnesses (Heart, Epilepsy, etc.), Autistic, ADHD, Learning Disabilities or any other information that would help us minister effectively to your child.

    MEDICAL EMERGENCY CARE INFORMATION:

    By submitting this form I affirm that I understand and agree with the following statements...

    1. I understand that the above named child may participate in physical activities such as those held during Game Time. I understand that with any physical activity, there is a risk of injury. I fully accept this risk and do not hold any legal liability to: First Baptist Church, Buda, Texas and/or any
    persons involved in AWANA Clubs international, and/or the AWANA Clubs at First Baptist Church, Buda, Texas.

    2. In the event of an emergency that requires medical treatment for the above named child, I understand that every effort will be made to contact me or my emergency contact. However, if I cannot be reached, I give my permission to an AWANA Leader/ Parent to secure the services of a licensed physician/or qualified medical/ emergency professional to provide the necessary care for my child’s wellbeing. I assume full responsibility for all costs connected to any accident or treatment of my child.

    3. I grant permission for my child to travel to/from any/all AWANA events with an adult Leader/Parent. Any such event will be clearly communicated with me before the event.

    I acknowledge and agree.

    © 2020 First Baptist Church Buda. All rights reserved.

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