EDGE@nite Registration

Please fill out the form below for each child participating in EDGE@nite. After submitting this form, please follow the link below for payment. 

Child's Name *
Child's Name
Birthdate *
Birthdate
Parent/Guardian Name *
Parent/Guardian Name
Address *
Address
Parent/Guardian Phone *
Parent/Guardian Phone
Emergency Contact *
Emergency Contact
To be notified if parents cannot be reached.
Emergency Contact Phone *
Emergency Contact Phone
Photo Release *
I Consent to and authorize the use of any and all photographs taken. The use and reproduction of images is at the discretion of First Baptist Wheaton for promotional purposes without additional consideration or compensation. Images will remain the sole property of First Baptist Wheaton.
Medical Release *
I hereby give permission for my child to be treated in the event of an emergency and authorize the leadership of First Baptist Wheaton to act on my behalf in this matter.
Activity Release *
I give permission for my child, to attend EDGE functions from September 2016 - August 2017.
I am interested in serving in EDGE on Sunday nights. Please contact me with more information. *
My child will continue to work through the Awana T&T handbooks. *
If you need a new book please use the payment link below to order one.