Love, Joy, Peace...
Parent(s) Names (Required)
Email Address(es) (Required)
***Email is our primary contact method
Phone Number (Required)
Home Address (Required)
Awana Consent Form (Required)
I give my consent for my child to participate in the AWANA club at Appleton Community Evangelical Free Church. I waive and release all rights and claims for damage whatsoever they may be against Appleton Community Evangelical Free Church, including all staff and volunteer workers. I understand and do hereby agree to assume all of the risks and other related risks which may be encountered by my son/daughter participating in AWANA. In case of medical emergency, I give permission to the physician/hospital selected by those in charge of the activity to secure proper treatment for my child named above at parent’s expense. I also consent to the use, public or display by or on behalf of Appleton Community Evangelical Free Church of any photographs and any reproduction thereof or any video or voice recordings in which my minor child(ren) may be portrayed or identified. I waive all claims for any compensation from use of any of the aforementioned media.
Yes, my I give consent
Any additional comment, concerns, medical needs, etc? (Required)
Are you interested in serving in Awana? (Required)
Child #1 first name (Required)
Child #1 last name
Child Birthday (Required)
Grade in Fall (Required)
Which Club will your child be in? (Required)
Child #2 first name
Child #2 last name
Child Birthday
Grade in Fall
Which Club will your child be in?
Child #3 first name
Child #3 last name
Child Birthday
Grade in Fall
Which Club will your child be in?
Child #4 first name
Child #4 last name
Child Birthday
Grade in Fall
Which Club will your child be in?
Child #5 first name
Child #5 last name
Child Birthday
Grade in Fall
Which Club will your child be in?
Solve 5 + 2 = ?
 
Appleton Community Evangelical Free Church

2490 W Capitol Drive, Appleton, WI 54914

(920) 735-9971 office@applefreechurch.org
 
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