Grace Baptist Church
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    AWANA REGISTRATION

    child information

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    If you have more than four children, fill out this form and then resubmit a second form.

    family information


    medical information


    emergency contact information


    release and waiver

    My child has my permission to participate in all Grace Baptist Church activities on the church premises and in all off-site activities.  In the event my child becomes ill or injured, I authorize the following actions: 
    1. Contact me first.
    2. If I am not available, Grace Baptist Church personnel may use their judgment in contacting a qualified, licensed physician and following his/her directions.
    3. In case my child is involved in an accident and requires treatment, the attending physician has my permission to examine my child and begin treatment in my absence.  I grant this permission only after a reasonable effort has been made to contact me.
    I understand that all expenses for medical treatment are my responsibility and that my insurance will provide the primary insurance coverage for my child. I agree not to hold Grace Baptist Church of Havana, IL, its leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred by my child.  

    ​Typing my name below indicates my agreement to the above statements:
Submit
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  • Home
    • Song lyrics
  • New Here
    • What to Expect
    • Our Mission
    • Our Pastor
    • Our History
    • Our Beliefs >
      • Church Covenant
      • Doctrinal Statement
  • Contact Us
  • Sermons
    • 2020 Sermons >
      • Matthew
      • The Hope We Cling To (Easter 2020)
      • 2020 Individual Sermons
    • 2019 Sermons >
      • Can't we all just get along?
      • Not so Minor
      • While He Was Dying
      • Invite Your One
      • 2019 Individual Sermons
    • 2018 Sermons >
      • The Letter to the Soul Set Free
      • Under Attack
      • The Silent God
      • The Dearest Place on Earth
      • Not a Fool
      • The Bible and Transgenderism
      • 2018 Individual Sermons
    • 2017 Sermons >
      • Ephesians
      • I AM
      • The Bible (Lecture Series)
      • Bookends: The Story of Redemption
      • A Monk and a Mallet
      • A Song for Christmas
      • 2017 Individual Sermons
    • 2016 Sermons >
      • Wisdom's Cry
      • Satan's Toolbox
      • Building Something Great
      • The Ten Commandments of Parenting
      • 2016 Individual Sermons
  • Ministries
    • Awana >
      • Awana Registration
      • Awana Van Ministry
    • Sunday School >
      • Digital Sunday School
    • Kids' Church
    • Child Safety
  • Give