2019-2020 Club Year

Parent/Guardian Name:
Alternate Phone:
Emergency Contact:*
Emergency Contact Phone:*
Persons (other than parents) authorized to pick up the children:
1st Child-First and Last Name*
Birth Date *
Gender *
Select Grade:*
2nd Child-First and Last Name
Birth Date (2)
Gender (2)
Grade (2)
3rd Child-First and Last Name
Birth Date (3)
Gender (3)
Grade (3)
4th Child-First and Last Name
Birth Date (4)
Gender (4)
Grade (4)
5th Child-First and Last Name
Birth Date (5)
Gender (5)
Grade (5)
1)  I understand that my child/children may participate in physical activities such as those held during Game Time. As with any physical activity, there is a risk of injury, I fully accept this risk. By signing this permission slip, I release and hold harmless, The Tabernacle, its pastors, trustees, officers, employees, interns, and any volunteers from any liability, past or future, fully and completely, even injury resulting in death.

2)  In the event of an emergency that requires medical treatment for the above named child/children, I understand every effort will be made to contact me or my emergency contact. However, if I/we cannot be reached, I authorize the staff, Awana volunteers, or designated medical professionals to secure the services of a licensed physician to provide the care necessary for my child's well-being.  I assume responsibility for all costs connected to any accident or treatment of my child.

3)  I grant permission for a photo of my child to appear in an unpublished club directory to be used by Awana Leaders only. I also give permission for photo(s) of my child to appear among other general club photos, on The Tabernacle website, and on The Tabernacle Awana Facebook page as long as there is no identifying information shown.

4)  I grant permission for my child to travel to/from Awana Club events with an adult leader. Any such event will be clearly communicated with me beforehand.


The word discipline has the same root meaning as disciple, which means learner or follower.  This root meaning implies a leader-follower relationship in which the follower learns about proper conduct.  The purpose of discipline is to teach Christ-like behavior, not merely a set of rules.  To discipline is to teach or mold, resulting in a happy, well-adjusted individual.  Discipline is something done for the child, not to the child.  Discipline results in an organized, smooth-running club.

    Awana uses two methods to deal with discipline.  The first is the Five-Count and is used for a group of clubbers.  The person in charge raises his or her hand and begins the five-count by slowly and loudly counting to five.  By the count of five, clubbers are to be quiet and lined up or sitting straight. 


    The second method is the Three-Count and is used for an individual clubber who continues to misbehave after repeated correction; this method follows the three-strikes-and-you’re-out philosophy.  We will not allow an unruly child to be a distraction to the whole club.

  • A One Count is a warning that the clubber is disobeying one of the club guidelines.

  • A Two Count means the clubber has continued to disobey club guidelines and must talk with the club Director and/or Commander.

  • If a clubber receives a Three Count a parent will be called.The parent will be expected to review club guidelines with their child. The clubber may return to club when they are ready to follow the club guidelines.


If the clubber agrees to behave and returns to club, but continues to cause problems and receives a Three Count, then the Director will inform the Commander of the nature of the problem. The Commander will inform the parents of the misbehavior again and that the clubber has been suspended from Awana for one week. Again, explaining that the clubber is welcome back to club after his/her one week suspension if they agree to abide by the club guidelines. 


Our prayer in Awana is that all children in our ministry come to know, love, and serve Jesus Christ. Because a habitually misbehaving, disrespectful, and/or disruptive child could potentially keep other children from hearing or understanding God’s love, a Discipline Committee has been formed.

A Discipline Committee, consisting of the Awana Commander, a staff member of The Tabernacle and if necessary the Director of the club involved, will evaluate each suspension. This committee will determine the length of suspension for each incident. After the second suspension, expulsion will be considered. The Discipline Committee will handle the severity of discipline after the first suspension.

The Awana leaders realize family situations may affect a child’s behavior. We encourage you to let your child’s Awana leader know if there is any situation that may help us in ministering to your child. This helps the Awana leader to potentially minister to the child as opposed to just viewing a situation or action as a discipline problem.


Awana has only a few guidelines for clubbers. They are as follows:

  • Clubbers must respect and obey all leaders

  • Clubbers must respect fellow clubbers

  • Pushing, shoving, hitting nor roughhousing is not allowed at anytime.

  • Respectful language should always be used. No swearing.

  • Stealing will not be tolerated.

*By signing below, I certify that I have read and understand the above Awana Discipline Policy at The Tabernacle.

Sign & Date*