AWANA-Sunday evenings @ 5:30 p.m.

By Dean | July 17, 2023

AWANA, which stands for “Approved Workmen Are Not Ashamed” (II Timothy 2:15), is an engaging and empowering time for children from age 2 through the 6th grade. This ministry features exciting games, engaging activities, biblical teaching, and personal interaction between students and leaders.

AWANA takes place on Sundays from 5:30 to 7:00 p.m. You can register using the form below. Please fill out one form per child.

If you have any questions, please contact Val at the church office at 785.379.9933 or e-mail her at [email protected].

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What age group is your child?

Puggles for 2-year-olds
Cubbies for 3- to 5-year-olds
Sparks for K to 2nd grades
T&T for 3rd to 6th grades

Child's First and Last Name

Child's date of birth

Child's age (years)

School

Grade Level

Allergies/Special Medications/Activity Restrictions

Address

Home Phone Number

Parent/Guardian #1 - First and Last Name (copy)

Cell Phone Number

Parent/Guardian #2 - First and Last Name

Cell Phone Number

Additional Emergency Contact - First and Last Name

Relationship to the child

Emergency Contact Phone Number

Are you a member of a church?

Name of the church

Insurance Company--- Policy Number--- Hospital Preference

Physician Name/Phone Number

Signature

The undersigned hereby gives permission for my child and/or children to attend & participate in activities sponsored by East Side Baptist Church, & relieves the Church of all liability in the event of an accident. I authorize East Side Baptist Church, or any adult, in whose care the minor has been entrusted to consent to any x-ray examination, anesthetic, medical, surgical, or dental diagnosis or treatment, and hospital care, to be rendered at the office of said physician or at said hospital. The undersigned shall be liable and agree to pay all costs and expenses incurred in connection with such medical & dental services rendered to the aforementioned child pursuant to this authorization. The undersigned do also hereby give permission for my child to ride in any vehicle designated by the adult in whose care the minor has been entrusted while attending & participating in activities sponsored by East Side Baptist Church.

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