Lolo Community Church - Register Clubber

Welcome to Lolo Community Church's Awana online registration for Clubber's and Volunteer's

New Awana Registration

Household Information

Parent/Guardian/Volunteer *

Relationship

Parent/Guardian #2

Relationship

Address *

City *

State *

Zip *

Enter alternate address for Parent/Guardian#2

Phone# *

Email address*

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

What church do you attend?

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

Website Login

I DON'T want access to the Awana website

Email *

To gain access to our new Awana website for important news and updates please create a login.

Alternate Email

New password *

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

Clubber Information

Registration Type*

Change to Leader/Volunteer if you're an adult registering to help with meetings

First Name*

Volunteer's please select leader/volunteer in the registration drop down menu

Last Name*

Gender*

Grade for 2024-25*

Birthdate*

Invited by

Special Notes

Please enter any special notes that we should know about your child. For example, allergies, special instructions, etc.

Medical Release: As a parent/guardian, I give my permission for the above minor to attend Awana activities including regular club nights and any special activities from September 4, 2024 to May 14, 2025. I authorize treatment under the direction of any licensed physician of the above minor in the event of a medical emergency which in the opinion of the attending physician my endanger his or her life, cause disfigurement, physical impairment or undue discomfort if delayed. This authority is granted after reasonable effort has been made to reach me by phone. I will not hold the church, or their staff, administration, or workers, liable for any injury to or loss of possessions by the above minor during any activity either on the church property or away, including regular meetings as well as special events.

YES, I give permission as stated above for my child regarding medical care

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

In lieu of your signature, please enter your initials:

Van Transportation : Van Transportation

YES, My clubber DOES need Van Transportation. Clubber's will be picked up and dropped off only at the address listed in the registration form unless a director is notified in advance. All friends need to be pre-register prior to riding the van.

NO, My clubber DOES NOT need Van Transportation

In lieu of your signature, please enter your initials:

Photo Release: Photographs are sometimes taken of Awana ministry activities for publicity and promotional purposes, which include, but are not limited to, in-house presentations, church web site, brochures and newsletters. By signing below, you are granting the church to use photographs of the above mentioned minor(s) as stated.

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:

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 all 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:

There is a $32 fee for each clubber in Cubbies, Sparks and T&T that is required at the time of registration. Journey and Trek are exempt from the fee. Please contact the office for payment. Options are cash, Check or tithe.ly. Thank you*

I understand by typing my name that constitutes as a signature. I agree to all the above waivers and consents on the registration form and those received throughout the Awana year. This shall cover the registered Clubber while attending Awana at Lolo Community Church. *

Please type your name above in agreement. This acts as a signature.

Delete

Add another Clubber or Leader/Volunteer