AWANA Registration and Liability Release 2019-2020

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Parent/Guardian Information

 
 
 
 
 
 
 
 
 
 
 
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Medical Information

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Medical History

 
 
 
 
Medical and Liability Release

I give permission for my child, named above, to participate in all activities of the ministries of Indian Creek Baptist Church (ICBC) of Mineral Wells, Texas.  As parent or legal guardian of said minor, I accept full responsibility for my child’s participation in ICBC activities, including transportation to and from any location in connection with ICBC events.  It is understood that my child will obey all rules and follow instructions of the leaders.  I assume and accept all risks and hazards inherent in ICBC-related activities, and I assume full responsibility for any medical costs incurred in the event of an accident or other incident requiring medical treatment.  Additionally, I release ICBC and its employees and volunteers from any liability for damages, losses or injuries.  In the event of an emergency in which my child is in need of immediate hospitalization, medical attention or surgery, and after reasonable efforts have been made to contact me or my spouse, and we cannot be located for the purpose of consenting thereto, consent for the emergency attention may be given to any person standing loco parentis (in the place of a parent) to my child.


 


I understand my signature on this document provides for a medical and liability release for all activities, including transportation, sponsored by, or associated with, Indian Creek Baptist Church.

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Cost to participate in AWANA program for 2019-2020 school year.

DUES                              $30/year (or $1.50/week)
HANDBOOK                   $15 (Generally use 1 year)
UNIFORM                       $15 (Generally worn 2-3 years)

TOTAL cost to participate in AWANA      $60

Installments payments are accepted, and partial scholarships are available.  Contact our AWANA Ministry Director to set up a payment plan or to recieve a scholarship request form.

Karen Wells,  kwells_relayforlife@yahoo.com
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