AWANA 20-21 Form

Child's Name

Boy (B) Girl (G)

Birth Date

Cubbies (Pre-K) Sparks (K-2nd) T&T (3rd-6th)

Uniform Size

Uniform Fee

Registration Fee ($0/Child)

Book Fee ($10) If Needed)

Subtotal For Child

Uniforms (Please DO NOT order this year until club meets in person.)

Cubbies Vest $11

Sparks Vest $11

T&T Uniform (3rd&6th grade) $16

2XL

Adult S

Adult M

Adult L

Lincroft Bible Church Medical & Photo Release From 2020-2021
Name(s) of Child(ren) *
I give permission for my children to attend and to participate in the AWANA activities. In case of emergency, every effort will be made to contact me. However, if I cannot be reached, I give my permission to the staff at Lincroft Bible Church to secure the services of emegerncy personnel/licensed physician to provide the necessary care, including anesthesia for my children's well being.

I understand that Lincroft Bible Church and the AWANA Program and its staff are not held responsible for any monetary incurrence for said medical treatment.
Parent's Name *

First Name Last Name
Signature *

Clear
Date *

Month Day Year
Date
Permission to Use Photograph
I grant Lincroft Bible Church the right to take photographs of me and/or my family in connection with the AWANA program. I authorize Lincroft Bible Church, its assigns and transferees to copyright, use, and publish the same in print and/or electronically.

I agree that Lincroft Bible Church may use such photographs of me and/or my family and for any lawful purpose, including publicity, illustration, advertising, and web content.

I have read and understand the above.
Parent's Name *

First Name Last Name
Signature *

Clear
Date *

Month Day Year
Date
Should be Empty:

Registration 2020-2021