Awana Online Registration

To ensure that submission of this form is successful, please answer all the questions noted with a "*".

Up to four children can be registered on this form. If you need to register additional children, please complete this registration and then start the process again.

A confirmation page will follow if the form was submitted successfully. 

Are you new to Awana?

Child #1

Gender*

Allergies

Does your child have any allergies we should be aware of?

Child #2

Gender

Allergies

Does your child have any allergies we should be aware of?

Child #3

Gender

Allergies

Does your child have any allergies we should be aware of?

Child #4

If you need to register more than 4 children, please complete this form and submit it. Then begin the form process again for the remaining children.

Gender

Allergies

Does your child have any allergies we should be aware of?

Child's Primary Address*

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Cell phone is preferred. Will be used for emergencies only and optional text updates. We respect your privacy and will not share your contact information.

( )   -

Will be used for emergencies only and optional text updates. We respect your privacy and will not share your contact information.

Medical Release*

I authorize First Baptist Church of Rochester to administer basic emergency medical treatment and/or activate the 911 EMS systems for transport by ambulance to the appropriate hospital emergency center.

( )   -

( )   -

Photo/Video Release for a Minor*

I, as a parent/guardian with legal responsibility for the child(ren) listed on this form, hereby grant First Baptist Church of Rochester the perpetual right to use photographs or video taken of my child(ren)/dependent(s) for any legitimate purpose without compensation to my child(ren)/dependent(s), myself, heirs, executors, or assigns. Legitimate purpose may include, but are not limited to, advertising on the web, newspapers, magazines, internal publications, displayed prints, worship services, special events, curriculum, etc.