Calvary Baptist Church - Register Clubber

Welcome to online registration

New Awana Registration

NOTE: Registration is CLOSED for Cubbies , Sparks , T&T

Household Information

Parent/Guardian #1 *

Relationship

Parent/Guardian #2

Relationship

Address *

City *

Province *

Postal Code *

Enter alternate address for Parent/Guardian#2

Phone# *

Other Emergency Contacts (include phone numbers)

Please include a phone# and name for each of your Other Emergency Contacts

List others authorized to pickup your child

Do you attend a local church? If so, which one?

Church attendance is NOT required. Enter NONE if you don't attend a church.

Website Login

Email *

Creating a login will allow you to view your childs progress in their Awana handbook

New password *

Please enter a password you'd like to use to login to this site.

Child Information

First Name*

Last Name*

Gender*

Registration Type*

Grade for 2023-24*

Birthdate*

Special Notes and Instructions including allergies

Please enter anything we should know about your child. For example, allergies, medical issues, special needs etc. Please indicate if your child will be bringing a medication such as an EpiPen or inhaler, and include instructions for administration. We will not administer any medication without written instructions so please provide instructions.

Care Card Number

Physicians name and phone number

Authorization and Medical Consent: I, the parent/ guardian of the participant named above, authorize one of the Calvary Baptist Church Ministry Staff to sign a consent of medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant named above.

YES,

NO, I do NOT give permission for my child to receive medical care

In lieu of your signature, please enter your initials:

By entering your initials you are signing this registration form electronically. You agree that your electronic signature is the equivalent of your manual signature

I, the parent/ guardian of the participant named above, undertake and agree to indemnify and hold blameless, the Ministry Staff, Calvary Baptist Church, its Pastors and Management Team from and against any loss, damage or injury suffered by the participants as a result of being a part of the activities of Calvary Baptist Church, as well as any medical treatment authorized by the supervising individuals representing the church. This consent and authorization is effective only when participating in or traveling to events of Calvary Baptist Church.

YES,

NO,

In lieu of your signature, please enter your initials:

By entering your initials you are signing this registration form electronically. You agree that your electronic signature is the equivalent of your manual signature

Photo Release: I hereby give Calvary Baptist Church the right to use my child's photograph/ image in the collowing forms: Social Media, Church Website, Promotional Materials/ Newsletters and in the church building.

YES, I grant permission for use of photographs of my child as stated above

NO, I do NOT authorize use of photographs of my child

In lieu of your signature, please enter your initials:

By entering your initials you are signing this registration form electronically. You agree that your electronic signature is the equivalent of your manual signature

Covid-19 Release: Exposure to COVID-19 is an inherent risk in any public location where people are present. I acknowledge that any procedures put in place by the church will not eliminate the risk of COVID-19 and I accept the risk of the above minor participating in this activity.

YES, I consent to the above

In lieu of your signature, please enter your initials:

By entering your initials you are signing this registration form electronically. You agree that your electronic signature is the equivalent of your manual signature

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