CLJ Youth Covid-19 Guidelines

CLJ Youth will be implementing the following safety measures:

· Hand sanitizing and temperature check upon entering

· Youth and leaders must wear a mask at all times

· Youth and leaders will practice social distancing by adhering to 6 feet apart guidelines

· We will utilize one specific meeting location, youth will not be able to visit other areas of the church

· Only 2 people at a time will be allowed in the bathroom

· No food or drinks will be allowed in the sanctuary- only individual water bottles will be allowed, must be provided by family.

· Sharing of material such as reading and writing materials will not be permitted

We ask that your child stay home if he/she is sick. Anyone with a temperature, flu like symptoms or a cold will need to stay home and are encouraged to connect via Zoom. CLJ youth leadership will take all necessary measures to create a safe environment; that will reduce exposure to COVID 19; however participation is at the family’s own risk.

Registration Form

Parent /Guardian

Primary Contact

First Name

Last Name

Parent/Guardian Phone

(###)

###

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Parent/guardian Email Address

Parent/Guardian Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Spouse

First Name

Last Name

Spouse Phone

(###)

###

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Spouse Email

Spouse Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Church Member?

Check one

Yes

Persons (other than parents) authorized to pick up the children:

First Name

Last Name

Phone of Person (other than parents) authorized to pick up the children:

(###)

###

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Child 1

First Name

Last Name

DOB Child 1

YYYY

Gender Child 1

Club Child 1

Email Child 1

Phone Child 1

(###)

###

####

Child 2

First Name

Last Name

DOB Child 2

YYYY

Gender Child 2

Club Child 2

Email Child 2

Phone Child 2

(###)

###

####

Child 3

First Name

Last Name

DOB Child 3

YYYY

Gender Child 3

Club Child 3

Email Child 3

Phone Child 3

(###)

###

####

Child 4

First Name

Last Name

DOB Child 4

YYYY

Gender Child 4

Club Child 4

Email Child 4

Phone Child 4

(###)

###

####

Insurance Information

Doctor Name Child 1

Child 1

First Name

Last Name

Doctor's Phone Child 1

(###)

###

####

Health Insurance Child 1

Insurance Company/Policy number

Allergies / Meds / Special Needs Child 1

Doctor Name Child 2

Child 2

First Name

Last Name

Doctor's Phone Child 2

(###)

###

####

Health Insurance Child 2

Insurance Company/Policy number

Allergies / Meds / Special Needs Child 2

Doctor Name Child 3

Child 3

First Name

Last Name

Doctor's Phone Child 3

(###)

###

####

Health Insurance Child 3

Insurance Company/Policy number

Allergies / Meds / Special Needs Child 3

Doctor Name Child 4

Child 4

First Name

Last Name

Doctor's Phone Child 4

(###)

###

####

Health Insurance Child 4

Insurance Company/Policy number

Allergies / Meds / Special Needs Child 4

I am interested in helping

Note: All Awana Club leaders and listeners must submit to a background check before working with the children.

Terms and Conditions

1)I understand that my child/children may participate in physical activities such as those held during Time. As with any physical activity, there is a risk of injury. I fully accept this risk and hold harmless from any legal liability, Congregation Lion of Judah and any persons involved in the Awana Club ministry. 2)In the event of an emergency that requires medical treatment for the above named child/children, understand every effort will be made to contact me or my emergency contact. However, if I/we cannot be reached, I give my permission to the AWANA volunteers to secure the services of a licensed physician to provide the care necessary for my child's well being. I assume responsibility for all costs connected to any accident or treatment of my child. 3)I give permission for my child's photo/video to be used in variety of publications and news programs.Received Registration Fee of $15 is Non-Refundable if unable to attend the club.

Social media authorization

I, the parent or guardian of the children mentioned in this form, authorize my son or daughter to be contacted by the ministry's administration or its leaders, with information related to the organization.