New Clubber Registration form

By filling out the form below, you are agreeing to the Code of Conduct and giving Parental Permission for your child's participation in our Awana Program.

PARENTAL PERMISSION:
I understand that in the event medical intervention is needed, every attempt will be made to contact immediately the persons on this form. In the event I cannot be reached in an emergency, I hereby give my permission to the physician or dentist selected by the activity leader to hospitalize, to secure medical treatment and/or order an injection , anesthesia, or surgery for my child as deemed necessary. I understand that all reasonable safety precautions will be taken at all times by Lighthouse Bible Baptist Church and its agents during the events and activities. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree not to hold Lighthouse Bible Baptist Church, its leaders, employees and volunteer staff liable for damages, losses, diseases, or injuries incurred by the subject on this form. Your signature on this form permits Lighthouse Bible Baptist Church to videotape and/or photograph your child for use on the church's website, published documents, and/or any other promotions sponsored by Lighthouse Bible Baptist Church.

CODE OF CONDUCT
Clubbers are expected to cooperate with all staff at all times, and to participate in all scheduled activities. Possession and/or use of alcoholic beverages and/or any type of drugs including tobacco of any kind is strictly prohibited. Failure to remain within these guidelines will be communicated to the parent/guardian and the Clubber may be asked not to return to this Awana Program. We have read the code of conduct and agree to abide by it.

By submitting, you are agreeing to the Code of Conduct and giving Parental Permission for your child's participation in our Awana Program.

By submitting, you also acknowledge that in the event medical intervention is needed, every attempt will be made to contact immediately persons included on this form.  If contacts cannot be reached, you are giving permission to the physician or dentist selected by the activity leader to hospitalize, to secure medical treatment and/or order an injection, anesthesia, or surgery for my child as deemed necessary.  You understand that all reasonable saftey precautions will be taken at all times by Lighthouse Bible Baptist Chruch and its agents during the events and activities.  You understand the possibilities of unforseen hazards and know the inherent possibility of risk.  You agree not to hold Lighthouse Bible Baptist Church, its leaders, employees and volunteer staff liable for damages, losses, diseases, or injuries incurred by the subject on this form.

Also, by submitting this form, you agree to allow to LBBC to video and/or photgraph your child for use on the church website, documents, and/or any other promotions sponsored by LBBC.