Awana T&T 2024 • Battlefield Baptist Church

Our T&T Club is for Children 3rd-5th Grade

First Name *

Last Name *

Age *

Date of Birth *

Gender *

School Grade *

Tip: For School Year 2021-2022

School Name *

Parent Name *

Email Address *

Phone Number *

Mobile Number *

Home Address *

Home City *

Home State *

Home Zip Code *

Has your child ever been a part of an Awana Club in the past? *

Yes

If so, where?

Does your family regularly attend church? *

Yes

If so, where?

T-Shirt Size *

I give permission for my child to participate in all activities associated with the Awana Bible Club at Battlefield Baptist Church during the 2024-2025 school year. I waive all claims against Battlefield Baptist Church and/or leadership, including Club Directors and Club volunteers, of any injuries that may be sustained by our said minor child and agree to indemnify and hold the church and workers free and blameless from any liability, costs, and damages therefore. I hereby consent to and grant the leadership of Battlefield Baptist Church full rights and authority to act for me in any manner pertaining to the care and control of the said minor child named above during the Awana Club year (2024-2025). Additionally, I grant Battlefield Baptist Church leaders my consent to obtain medical assistance that may be required for this said minor child during this Club year (2024-2025) as deemed necessary. I agree to accept complete financial responsibility for the costs related to this emergency medical treatment.

Electronic Signature *

Current Date *

Medical Insurance Company *

Medical Insurance Identification Number *

List allergies, if any:

List medications, if any:

Date of last tetanus shot *

Does this child have any special problems, conditions, or restrictions? *

Yes

If yes, please explain:

Please list any special instructions: