FFBCA AWANA XXI Preliminary Registration Form

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For more information on the Awana program and policies, click on the above link.
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Our fall and winter program begins September 18, 2017, meeting at 6:30 pm on Mondays, at the Northern Lights Public School, 40 Bridgenorth Drive, Aurora.

Note that the following release will be part of a form (with provisions for exceptions as indicated therein) to be signed by the parent or guardian at their child's or children's first attendance at this event, and the registration process will then be completed:

"I give my permission to the above named child(ren), of whom I am parent or guardian, to participate fully (except as noted above) in this program. I authorize pictures to be taken for use in the program, promotion or distribution to parents. In the event of a medical emergency, I understand that every effort will be made to contact one of those named above for this purpose, and if that should not prove possible I do herewith authorize treatment under the direction of any licensed physician in the event of a medical emergency, which, in the opinion of the attending physician, may endanger his or her life, cause disfigurement, physical impairment, or undue discomfort if delayed. I will assume the responsibility for any costs connected with such treatment and hereby release from any liability for it."

We have programs for Cubbies through Trek (ages 3 to 16). Use the following form to provide us with preliminary registration information for our planning. Alternatively you can telephone the church at 905-773-6575 (landline) or 905-392-5919 (Cellular - limited availability).

Your name:      [Required]
Address:           [Required]

Please provide information by which we may contact you: either your e-mail address or your telephone number.

E-mail address

or Telephone:     

The following information is requested for planning purposes only; the completion of registration will take place at our opening night. We will confirm the date and time with you.

Child's Name: Birth year or date:
Child 2 Name: Birth year or date:
Child 3 Name: Birth year or date:
Child 4 Name: Birth year or date:
To cancel, click [EXIT] else click when form completed or to start over.