Christ Community Church - Register Clubber

Welcome to our AWANA Online Registration

New Awana Registration

Household Information

Parent/Guardian #1 *

Relationship

Parent/Guardian #2

Relationship

Address *

City *

State *

Zip *

Enter alternate address for Parent/Guardian#2

Phone# *

Other Emergency Contacts (include phone numbers)

Please include a phone# and name for each of your Other Emergency Contacts.

Is there anyone UNAUTHORIZED to pickup your child(ren)?

Our Awana Commander will be sure to follow up with you if there is anyone UNAUTHORIZED listed above.

What church do you attend?

Church attendance is NOT required. Enter NONE if you don't attend a church.

Website Login

I don't have an email address

Email *

Alternate Email

New password *

Please enter a password you'd like to use to login to this site.

Child Information

First Name*

Last Name*

Gender*

Grade for 2023-2024*

Birthdate*

Special Notes

Please enter any special notes that we should know about your child. For example, allergies, special instructions, etc.

Medical Release: In case of an accident, I prefer AWANA staff to...*

Photo Release: Photographs are sometimes taken of Awana ministry activities for publicity and promotional purposes, which include, but are not limited to, in-house presentations, church web site, social media, brochures and newsletters. By signing below, you are granting CCC to use photographs of the above mentioned minor(s) as stated.

YES, I grant permission for use of photographs of my child as stated above

NO, I do NOT authorize use of photographs of my child

In lieu of your signature, please enter your initials:

By signing, I understand that I will NOT hold CCC responsible for any injuries, accidents, or illnesses acquired while on the premises. I give permission for my child/children to participate in activities organized by CCC.

YES,

In lieu of your signature, please enter your initials:

Today's Date*

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