Good News Club® Registration Form

Good News Club® is an exciting, fun-filled weekly club for kids that includes: dynamic Bible lessons, creative learning activities, inspiring missionary stories, fun songs, and life-changing Scripture memory.

Your child will learn respect for authority, character qualities, moral values, and Biblical principles.

Who teaches the club?

Specially trained Christians who are concerned for the spiritual well-being of your child. All club workers are screened and required by CEF's Child Protection Policy to ensure your child's safety.

A note for parents/guardians:

Please be considerate of other children, families, and Good News Club® volunteers. If your child is not feeling well, they should not attend club. Temperatures will be taken and health screenings conducted at arrival time each week. If a child is found to have a temperature, they will not be permitted to stay for club. Thank you in advance for your understanding and help in this matter.

CEF does not provide transportation to the Good News Club (GNC) location. Parents must arrange transportation to the GNC location, and must pick up each child promptly at GNC end time. Our policies do not allow GNC teachers or helpers to remain after club. If your child is not picked up immediately after club three times throughout the school year, he/she will not be allowed to continue attending. Thank you for understanding.

Who can attend?

All boys and girls, grades K-5th, regardless of religious background. Parents are also welcome to attend with children.

Good News Club Registration Form

Website *

Club Information
My child (named below) is allowed to attend the Good News Club at the Boys' & Girl's Club every Tuesday after school. There will be no clubs on half days and school holidays. Clubs will run concurrent with the school calendar. I understand it is my responsibility to pick up my child at 4:00 pm and failure to do so will jeopardize my child's continued participation.

Parent/Guardian Signature *

By typing your name, you consent to signing this document electronically.

Date *

Indicate how your child will get home on club day. *

My child will be picked up after Good News Club.

My child will walk home after Good News Club.

My child is registered for and will attend an extended day/after-school program.

If extended day/after-school program was selected above, insert Name of Program.

Child's First Name *

Child's Last Name *

School *

Homeroom Teacher *

Grade *

Male / Female *

Male

Female

Birth Date *

Age *

Street Address *

Apt #

City *

State *

Zip Code *

List any security/custody issue with this child.

List any special needs (ADD, Asperger's, Dyslexia, etc.)

Child's allergies (peanuts, chocolate, etc.)

Family Email *

Dad's work/cell phone

Home Phone *

Mom's work/cell phone

Church

Is either parent in the military?

Yes

Emergency Contact 1 *

Emergency Contact 2

Emergency Contact 1 Phone Number *

Emergency Contact 2 Phone Number

In addition to those listed above, the following people are allowed to pick up my child:

Name 1

Name 2

Phone Number 1

Phone Number 2

Parent/Guardian Signature *

By typing your name, you consent to signing this document electronically.

Date *

OPTIONAL Photography and Video Release
Child Evangelism Fellowship may, from time to time, document the activities of the ministry with photos or videos.

I hereby assign and grant to Child Evangelism Fellowship Inc., its subsidiaries and successors, and assign the unqualified right to the ownership, use and proceeds of all photographs or video of me or my minor child, without reservation or limitation, including use of photographs or video of me or my minor child for, but not limited to, advertising, educational and promotional purposes.

Parent/Guardian Signature

By typing your name, you consent to signing this document electronically.

Date

Good News Club® Registration Form

Who teaches the club?

A note for parents/guardians:

Sponsored by:

Who can attend?

Good News Club Registration Form