Awana Registration 2019-2020

(please fill out the following three forms for each individual child by hitting submit after each one)

Child's Name *
Child's Name
Child's Birthdate *
Child's Birthdate
Primary Adult Cell Phone *
Primary Adult Cell Phone
Alternate Adult Cell Phone *
Alternate Adult Cell Phone
Primary Adult Birthday *
Primary Adult Birthday
(medical conditions, food allergies, etc.)
Allowed to be photographed? *

Hope Community Medical Release Form

By submitting this form you agree to the following:

As the parent or legal guardian, I realize that there is an inherent risk associated with any physical competition (game time) or any activity that involves transporting my child from one location to another. The possiblility of unforseeable events can also pose a risk to the safety of my child, not only during travel to and from an activity, but also during activity itself.

Therefore, it is with the acknowledgement of the risk that I give permission for the above-mentioned child to travel with Hope Community Church of Midland to and from all church functions and activities entered into by Hope Community Church. I release Hope Community Church, its staff and sponsors from any responibility and/or liability for any injury or illness that my child may sustain during travel to or from an activity and participation in the activity.

In the event of emergency, I hereby authorize any adult leader as an agent for me to consent to any medical treatment necessary for the welfare of my child. I either have appropriate insurance, or in its absence, agree to pay all costs of rescue and/or medical services as may be incurred on behalf of and by my child.

Parent/Guardians Name *
Parent/Guardians Name
(if this does not apply to you, please fill in "N/A"
Emergency Contact Number *
Emergency Contact Number
Allergies *
(if not applicable, please write "N/A"

Order Form

Chid's Name *
Chid's Name
Awana Dues *
(Small, Medium, Large, XLarge, XXLarge)
(Small, Medium, Large, XLarge, XXLarge, XXXLarge)
(YS, YM, YL, AS, AM, AL, AXL, A2X, A3X)
Optional Items

To complete payment for the Awana year add total together, and please click here and denote it to Awana or you can pay in person on Wednesday Night. If you need a scholarship, please contact Kyle Groves.