Memorial Baptist Church
4001 Trimmier Road
Killeen, Texas 76542
(254) 634-6882

Welcome to our
Fellowship

www.membc.org

ATTENTION PARENTS: AWANA CANNOT OPERATE WITHOUT PARENT VOLUNTEERS. PLEASE SIGN UP NOW TO VOLUNTEER IN AN AREA OF YOUR CHOICE. YOU MAY CHOOSE TO WORK WITH YOUR CHILD OR IN ANOTHER LOCATION. TRAINING PROVIDED.


Due to the need for extra supervision for our 2, 3, and 4 year olds, parent participation in a Sunday evening ministry will be mandatory once again for the parents of AWANA participants born from September 1st, 2004 to September 1st, 2006.** Parents may serve in any of the “Areas of Interest” shown at the bottom of this page.

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2008/9 AWANA CHILD REGISTRATION - ONE FORM PER CHILD

 

Part 1 - E-MAIL ADDRESS (used to reduce postage costs and keep you informed)

Parent's First and Last Name:
Parent’s Primary E-Mail Address: 
 

Part 2 - PARTICIPANT INFORMATION

Child’s First and Last Name:

Child’s Street Address:

City: Zip:

Phone:

Additional Emergency Phone Number:

What is your child’s date of birth?

What is your child’s gender?

Child's age/grade of child on Sept. 1, 2008?

**= parent participation is mandatory for parents of 2, 3, and 4 year olds.

   

Part 3 - MEDICAL CONDITION

Check here if your child has a medical condition of concern, AND,  list medical conditions/allergies of concern here

   

Part 4 - INDEMNITY AGREEMENT

I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL OF THE RISKS WHICH MAY BE ENCOUNTERED DURING ATTENDANCE AT MEMORIAL BAPTIST CHURCH, INCLUDING ACTIVITIES PRELIMINARY AND SUBSEQUENT THERETO, AND SPECIFICALLY INCLUDING OFF-CAMPUS FIELD TRIPS AS WELL AS TRANSPORTATION TO AND FROM MEMORIAL BAPTIST CHURCH AND/OR FIELD TRIPS.  I do, for myself and for my child, heirs and assigns, hereby irrevocably and unconditionally release, acquit and forever discharge Memorial Baptist Church and its agents, employees, drivers, and volunteers from any and all liability, actions, causes of actions, claims, expenses, obligations and damages of any nature whatsoever, which I now have or which may arise in the future, in connection with my child’s participation at Memorial Baptist Church or any other associated activities including but not limited to, any injury to my child or property, even injury resulting in death.  I expressly agree that this release, waiver, and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of Texas and that if any portion hereof is held to be invalid, it is agreed that the balance shall, not withstanding, continue in full legal force and effect.  This release contains the entire agreement between the parties hereto.

 

 I Agree: Date:

   

 

AWANA PARENT VOLUNTEER REGISTRATION

Name:

Address:

City: Zip:
Phone:
E-Mail:
Age level/area of interest:
 

 

 

IF BUS TRANSPORTATION IS NEEDED YOU MUST CALL:
(254) 634-6882.

 

AWANA Registration

 

 

Printable Awana Registration form