AWANA REGISTRATION

Awana at Lifeline Church

Registration Form

Ages: Ages 4–12 (children must be 4 years old at the time of registration)

When: September 2025 - May 2026

Location: Lifeline Church, 5236 Middle Ridge Rd., Madison, Ohio

Questions: Contact Bonnie Hanzak at 440-650-4489

Instructions: Please submit the information form and the medical form (2 submits) below for registration. Payment.....

Child & Parent Information

Medical Release Form

In consideration for my children (listed above) being allowed to participate in the Awana Clubs, on behalf of my child, my spouse and myself, I hereby assume all risks in connection with Awana Clubs and I further release Lifeline Church, the Pastoral Staff, or Teachers thereof from all claims, judgments, liability for any injury or damage that the child or his/her estate, myself or my spouse ever had, now has or may have due to the child's participation in the Awana Clubs, including all risks connected therewith whether foreseen or unforeseen.(including health risks such as, but not limited to, COVID-19) I fully understand what is involved in Awana Clubs and I understand that I have the opportunity to call the church and/or Leader and ask him/her about the Awana Clubs.