AWANA Registration 2023-2024 • Maranatha Baptist Church

The registration fee for Awana helps to cover the cost of clubber's handbooks and club dues which help with awards, prizes, and other costs and supplies related to providing Awana.

We want everyone to be able to be a part of Awana and Scholarships are available for those in need. For information about financial assistance, before registering, please e-mail office@mbccolumbus.org.

Date & Time

September 6, 2023 6:30 PM - 8:00 PM

Type

Price

Quantity

Awana Registration with Uniform
This includes either a Vest for Sparks (K-2nd grade) or a shirt for T&T (3rd-6th grade) - also includes a book and club dues.

Price
$45.00

Quantity
Awana Registration - no Uniform
Choose this option if you already have a uniform for your club - This registration includes a book and club dues.

Price
$30.00

Quantity

Enter discount code

Awana Registration with Uniform 0

Have you already filled out the family information for another child? *

Parent(s) Contact Information

First Name *

Last Name *

Mobile Number *

Email Address *

Parent #2 First Name *

Parent #2 Last Name *

Parent #2 Mobile Number *

Home Address *

Home Address Line 2

Home City *

Home State *

Home Zip Code *

How did you hear about AWANA? *

Name of friend who invited you *

If other, please explain. *

Do you have a regular church home? *

Name of your church home *

Emergency Contact Information

Emergency Contact Full Name *

Tip: This should be someone other than a parent.

Emergency Contact Mobile Number *

4-Digit Pickup PIN Number *

Tip: We will use the same PIN# for kids from the same family, regardless of whether they are in Sparks or T&T

Child Information

First Name *

Middle Name

Last Name *

Date of Birth *

Grade Entering in the Fall 2023 *

Name of School *

Sparks Vest or T&T T-shirt Size

Drug Allergies (If none, N/A) *

Food Allergies (If none, N/A) *

Please list any additional info that is helpful for us to know so that we can serve your child effectively and make sure their needs are met.

Consents

I hereby give my consent to Maranatha Baptist Church and its leaders to obtain medical or surgical care for my (our) dependent(s) should an emergency arise in which such service is indicated. *

By typing my Full name below, I am digitally signing that, I acknowledge, and agree that:

1. Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest volunteer immediately; and,

4. I agree to carry insurance, or have the financial resources, to cover the expenses related to personal illness, personal injury, injury caused to others, and/or damage to property.

5. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Maranatha Baptist Church, their officers, agents, and/or employees, other participants, and volunteers (RELEASEES), WITH RESPECT TO ANY AND ALL ILLNESS, INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

Release of Liability *

Tip: Please Type Your Full Name

Awana Registration - no Uniform 0

Have you already filled out the family information for another child? *

Parent(s) Contact Information

First Name *

Last Name *

Mobile Number *

Email Address *

Parent #2 First Name *

Parent #2 Last Name *

Parent #2 Mobile Number *

Home Address *

Home Address Line 2

Home City *

Home State *

Home Zip Code *

How did you hear about AWANA? *

Name of friend who invited you *

If other, please explain. *

Do you have a regular church home? *

Name of your church home *

Emergency Contact Information

Emergency Contact Full Name *

Tip: This should be someone other than a parent.

Emergency Contact Mobile Number *

4-Digit Pickup PIN Number *

Tip: We will use the same PIN# for kids from the same family, regardless of whether they are in Sparks or T&T

Child Information

First Name *

Middle Name

Last Name *

Date of Birth *

Grade Entering in the Fall 2023 *

Name of School *

Sparks Vest or T&T T-shirt Size

Drug Allergies (If none, N/A) *

Food Allergies (If none, N/A) *

Please list any additional info that is helpful for us to know so that we can serve your child effectively and make sure their needs are met.

Consents

I hereby give my consent to Maranatha Baptist Church and its leaders to obtain medical or surgical care for my (our) dependent(s) should an emergency arise in which such service is indicated. *

By typing my Full name below, I am digitally signing that, I acknowledge, and agree that:

Release of Liability *

Tip: Please Type Your Full Name