Clubber Registration

AUTHORIZATION AND RELEASE OF LIABILITY
I, the parent or guardian of the above-named child/children, understand that my child/children may participate in physical activities such as those held during Game Time.  As with any physical activity, there is a risk of injury.  I fully accept this risk and hold harmless from any legal liability, Lenexa Baptist Church and any persons involved in the Awana Club ministry.

MEDICAL CONDITIONS
In the event of an emergency that requires medical treatment for the above named child/children, I understand every effort will be made to contact me or my emergency contact.  However, if I/we cannot be reached, I give my permission to the Awana volunteers to secure the services of a licensed physician to provide the care necessary for my child's well being.  I assume responsibility for all costs connected to any accident or treatment of my child.

CONSENT TO PHOTO RELEASE 

I grant permission for photo(s) of my child/children to appear among other general club photos as long as there is no identifying information shown.