2018-2019 Awana Registration
 
2018-2019 Awana Registration
Child's First Name  * 
Child's Last Name  * 
Child's Date of Birth  * 
Choose one: Nursery 0-1 (volunteer children only) Puggles 2-3 (volunteer children only) Cubbies 4-5 (volunteer children only) Sparks K, 1, and 2nd gr T & T 3rd, 4th, and 5th gr
Address  * 
City  * 
Zip code  * 
Parent/Guardian Name  * 
Phone Number  * 
In Case of emergency notify (other than parent):  * 
Relationship to child  * 
Phone Number  * 
Special Instructions/Allergies * 
Individuals, other than parents, who are authorized to pick child up * 
I give permission to One Church leaders to authorize or administer medical attention to my child if they feel it is an emergency during Awana Club activities.  * 
I agree to assume the risk and hold harmless One Church Joplin, its staff members, and volunteers conducting the Awana program from any claims that may result.  * 
I understand that at One Church, my child will be photographed. I authorize and consent to the use of photographs by One Church for promotional purposes, website, and social media  * 
Awana Dues: Please choose what your child will need for Awana.  * 
Awana Dues: Please choose what your child will need for Awana.  * 
Awana Dues: Please choose what your child will need for Awana.  * 
Awana Dues: Please choose what your child will need for Awana.  * 
If you have ordered a new shirt/vest, please indicate the size you will need.
Your Email Address  * 
Total $
 
 
Online Giving Powered by Easy Tithe