Home
About Us
Connect
Next Steps
Events & Signup
Kids
Students
College and Young Adult
Small Groups
Men
Women
Senior Adults
Worship and Music
Covenant Christian Academy
Contact
Media
Give
I'm New
Livestream
Awana Signup
First Name
Last Name
Birthday M/D/Y
Childs Age
Childs Grade
Allergies
What club will your child be in?
Puggles (2 year olds)
Cubbies (3 & 4 year olds)
Sparks (K5 to 2nd Grade)
T&T (3rd to 5th grade)
Please select child's shirt size
Small
Medium
Large
X-Large
Parents Names
Parents Address 1
Parents Address 2
Country
City
State
Zip/Postal Code
Emergency Contact Name
Emergency Contact Relation
Phone Number
Emergency Contact Name
Emergency Contact Relation
Phone Number
Please provide names and numbers for those authorized for pick up other than parent or emergency contact
I hereby consent to let my child(ren) participate in Awana. It is understood that every precaution will be taken for the safety and well being of my child(ren) but in the event of an accident or sickness Covenant Baptist Church staff are hereby released from any liability. In the case of any medical Emergency, I understand that hospital policy requires parental permission before treatment. I hereby give my permission to a representative of Covenant Baptist Church to secure proper medical treatment. (parents and Emergency contacts will be notified immediately of any Emergency)
Yes, I consent
No, I do not consent
Insurance Company
Policy Number
Please let us know of any physical, emotional, mental, or behavioral concerns or limitations that we need to be aware of:
Submit
