AWANA at Crossroads Bible Church

Please submit a separate form for each child.

Which club will your child belong to?
I authorize Crossroads Bible Church to administer first aid and to obtain and consent to on my behalf for any emergency first aid or medical care by any physician or hospital for my child. I agree to abide and be bound by such decisions and consents as if made by me. I further authorize any physician, hospital or medical attendant to receive full and complete medical records or information deemed necessary with respect to the treatment of my child. Execution of this document shall operate as an authorization for such person(s) to receive any medical information which they require.