Wednesday Night Ministries Registration/Photo Release Form

WHEN:
Wednesday Nights: September 11, 2024 - April 2, 2025, 6:30 p.m. - 8:00 p.m.

WHERE:
Arthur Evangelical Free Church
320 E Fourth Street, PO Box 130
Arthur, IA 51431

WHO:
Cubbies: Ages 3-5 years

Sparks: Kindergarten - 2nd Grade

T&T: 3rd - 5th (or 6th) Grade

Jr High: 6th - 8th Grade

Sr High: 9th - 12th Grade

Kick-Off is Wednesday, September 11, 2024, 6:30 p.m. - 8:00 p.m.

Follow us on Facebook: https://www.facebook.com/AwanaArthur/
Website: www.arthurefc.org

First Name: *

Last Name: *

Address: *

Address 1
Address 2

City

State

Zip

Age: *

School Grade/Leader: *

Birthday: *

Home Phone (If none, leave blank):

Cell Phone 1: *

Cell Phone 2:

Parents/Guardians: *

Email 1: *

Email 2:

Emergency Contact with phone number (if parents/guardians are unavailable):

Allergies/Medical Conditions/Dietary Needs:

Any additional information of which Awana leadership should be aware :

I give my child permission to ride transportation provided by the church to church events: * (1 required)

Yes No

Photo Release Form: The Evangelical Free Church of Arthur has my permission to use my or my child’s photograph publicly to promote the church activities. No names will be used. * (1 required)

Yes No

Enter Your Email Address: *