Awana Registration

Student First Name:*
Student Last Name:*
Home Church (If Applicable):
Would you like more information about this church?:
Medical Issues or Special Needs:
Grade Entering:*

Parent/Guardian Information

Parent First Name:*
Parent Last Name:*
Mailing Address:*
Phone Number:*
Alternative Pickup Phone:
Re-Enter Your E-mail:*
Medical Release:*
Photo Release: I hereby grant the above named church permission to copyright and use photographs/videos taken at Awana/Lolo Community Church of the minor designated above in any manner or form for any purpose lawful at any time. I waive any right that I may have to inspect or approve the finished product or written copy, that may be used in conjunction therewith, or the use to which it may be applied. This includes a closed Facebook group.*
Permission to Attend:*
Permission to Contact: I, the undersigned, give permission for any Awana/Lolo Community Church members to contact my child by written communications or phone calls to discuss club activities. Praying with child and prayer requests. (Including birthday card, Christmas card and letters of encouragement.)*
We offer Van services for children 6 years old or weighing more than 60 pounds that would NOT make it to Awana otherwise. For the safety of Cubbies we want parents to drive their Cubbies. If you have any questions about this please email Sarah at or call her 406-360-7995. Thank you!
Does your child need Van services?*
Transportation Release: By marking YES in this section, I give permission for my child to ride in either a Lolo Community Church Van or Bus, to and from the church and our specific drop off/pick up location during any given AWANA night or Lolo Community Church activity:*
Pick Up Location:
Drop Off Location:
Typing your name constitutes your signature and acceptance of the terms of your releases:*