REACHING KIDS WITH THE GOSPEL

The vision and prayer of AWANA is that all children and youth throughout the world will come to know, love, and serve the Lord Jesus Christ.

Ephrata Bible Fellowship Church
491 Peach Rd, Ephrata, PA 17522

Wednesday evenings from 6:45-8:15pm
See the AWANA calendar for club schedule and list of events throughout the year

Each Wednesday, students will recite Bible verses, participate in small and large group lesson times, enjoy group games, and more. Special events for the year include Christmas & Closing Programs, Grand Prix race, Sparks Float-a-Boat, Cubbies Duckie race, and more. See the AWANA calendar for details.

Multiple children can be registered using one submission as long as the parent/guardian information is the same for all (parent/guardian name, address, contact info, etc.). Simply click on the "Next Child" button to enter more clubbers.

Use a separate registration for children not living at the same address or not having the same parent/guardian.

Call the church office at 717-733-2526 with any questions.

AWANA Clubs Registration

Parent/Guardian Information

First Name

Last Name

Phone Number (also used in case of an emergency during club)

Relationship to Clubber(s)

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

If you are at EBFC during club time, where can we locate you in case of an emergency?

Second Emergency Contact

Contact person

Phone Number

Relationship to Clubber(s)

Date of registration

Medical Release

I understand that all reasonable safety precautions will be taken by the Ephrata Bible Fellowship Church and its agents during AWANA. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree not to hold the Ephrata Bible Fellowship Church, its leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred by the subject or subjects of this form. I understand that in the event medical intervention is needed, every attempt will be made to contact the emergency contacts listed on this form. In the event I cannot be reached in an emergency, I hereby give my permission to secure medical treatment for my child as deemed necessary.

Promotional Release

I, the parent/legal guardian hereby consent to the use of any videos, photographs, slides, audio recordings, or any other visual or audio reproduction in which I or my child(ren) may appear in promotional materials for EBFC. I understand that these materials are being used for recruitment, fundraising efforts, and slideshows during the programs. I release EBFC from any liability connected with the use of my or my child(ren's) picture, video or voice recordings as part of any promotional, recruitment, fundraising, or programs.

2. Complete the following to continue:

I have read the medical & promotional releases shown above

I will abide by the medical & promotional releases shown above

I agree to sign this form electronically

Signature

_{^{Form update 5/25/2025}}

Child Information

First Name

Last Name

Birthdate

Grade in upcoming or current school year

Which church does this child regularly attend?

If your clubber has any food allergy, it is the parent/guardian's responsibility to provide an appropriate snack each week.

Allergy Alerts

Please include any activity restrictions and necessary medications.

Medical Alerts

Anything else our AWANA leaders should know about concerning this child

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