AWANA LEADER REGISTRATION

CLUB YEAR 2018-2019

Name:*

First

Last

Address:*

Street Address (Lot/Apt. #)CityState Zip Code

Preferred Phone:*

Area Code

-

Phone Number

Alternate Phone:

Area Code

-

Phone Number

Emergency Contact Person:*

First

Last

Emergency Contact's Phone Number*

Area Code

-

Phone Number

Gender:*

Birth Date:*

/

day

month

year

Medical Information (Allergies or Special Needs)

Terms and Conditions Office Use

By Signing Below, I:

1) Commit to serve with integrity and follow club leadership protocol.

2) Commit to set a good example for clubbers by wearing uniform and arriving

on time.

3) Commit to faithfully pray for clubbers assigned to me and the Awana program.

4) Commit to memorize the Gospel Wheel verses.

5) Commit to watch Child Protection training video found at:

<https://www.churchmutual.com/dsp/dsp_srVideo.cfm?id=4177>

6) Grant authorization for the church to run a confidential background check.

I have read and agree to the Terms and Conditions stated above.

Checkbox*

I have read, understand and agree with the Leader's Terms and Conditions for The Tabernacle.

Sign & Date*

Sign

Date

Awana Leader Registration

Terms and Conditions Office Use

By Signing Below, I:

1) Commit to serve with integrity and follow club leadership protocol.

2) Commit to set a good example for clubbers by wearing uniform and arriving

on time.

3) Commit to faithfully pray for clubbers assigned to me and the Awana program.

4) Commit to memorize the Gospel Wheel verses.

5) Commit to watch Child Protection training video found at:

<https://www.churchmutual.com/dsp/dsp_srVideo.cfm?id=4177>

6) Grant authorization for the church to run a confidential background check.

I have read and agree to the Terms and Conditions stated above.

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