Oakridge Baptist Church - AWANA Registration

AWANA Registration Form

Please fill out the form completely, after filling in the details, please click on the SUBMIT button. Multiple children may be included on this form.

Child's First Name

Child's Last Name

Gender

Birthdate

Allergies

AWANA Level

Unknown

Cubbies (Preschool)

Sparks (K-2)

Truth & Training (Grades 3-6)

First Time Registraion

Yes

No

Parent's First Name

Parent's Last Name

Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Email

Emergency Contact:

First Name

Last Name

Emergency Contact Phone Number

Family Doctor

Family Doctor Phone Number

Insurance Provider

Insurance Group Number

MEDICAL RELEASE:

Sign Online

Sign in Person

In the event of an emergency and neither parent or guardian can be reached, I hereby give permission to the medical personnel and facility selected by Oakridge Baptist Church to secure proper treatment for my child(ren). I authorize the release of medical information as needed in their treatment and to appropriate health insurance coverage with the information listed above.

Signature

Please see the AWANA Secretary to sign the medical release in person

Agree

Additional Comments