AWANA Registration 2021-2022

Tuesdays 6-7:30pm | Please fill out this form and click submit. Thank you!
Thank you for your interest in AWANA! In order to plan for the best AWANA year possible, we are asking that all children be pre-registered. 

Please contact Deanna Carlson, Director of Children's Ministry, if you have any questions or concerns. (406) 442-6813 or deanna@lifecchelena.org
Family Information

 
 
 
 
 
 
 
 
 
AWANA can only happen because of an outstanding and dedicated team. These are people who say yes to the opportunity God has provided - to teach our children about the love of God! Thank you!

AWANA has some opportunities this year to say yes to God, especially in Sparks and TnT Boys. You can be a part of sharing God's love with AWANA children and join our team. Help make AWANA available for every child who wants to grow in faith!
Please select one option.
Persons other than a parent who can pick up your child(ren), or who can be contacted in case of emergency if a parent cannot be reached:
 
 
 
 
 
 
Child 1 Information

 
Please select one option.
 
 
 
 
Please select one option.
Child 2 Information

 
Please select one option.
 
 
 
 
Please select one option.
Child 3 Information

 
Please select one option.
 
 
 
 
Please select one option.
Child 4 Information

 
Please select one option.
 
 
 
 
Please select one option.
Child 5 Information

 
Please select one option.
 
 
 
 
Please select one option.
Additional Children

 
 
 
 
Emergency Information

Please complete this information for Life Covenant Church. This will be used for children’s activities from September 1, 2021 through August 31, 2022. If your family has changes that would affect this information throughout the year, please contact the church office (442-6813) to update.


 

 
 
 
 
 

Recognizing the possibility of physical injury associated with being involved in Life Covenant Church children’s ministry activities, I hereby release, discharge and/or otherwise indemnify Life Covenant Church and any other volunteers involved against any claim by, or on behalf of, the participant as a result of the youth's participation in any children’s activities that I hereby authorize.


 


 

 
*By entering my name in the box above, I am providing my digital signature on this form.
 
 
 
 
 
 
 
 
CONSENT FOR MEDICAL TREATMENT (MINOR)

As the parent or legal guardian of the above-named person(s), I hereby give consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well-being of my dependent(s).


 

 
*By entering my name in the box above, I am providing my digital signature on this form.
Insurance Information

 
 
 
Media Release

By signing this form, I give my permission for my child(ren) to be videotaped, photographed, or digitally imaged for promotional purposes for the Life Covenant Church’s children’s activities and that the images taken will not be used for any other purposes.


 

 
*By entering my name in the box above, I am providing my digital signature on this form.

Description

Tuesdays 6-7:30pm
Please fill out this form and click submit. Thank you!