Good News Club® Registration

Name(s) of child(ren), ages, and grade

Address of Child(ren) (Number, Street, Apt)

City, State, Zip

Primary Phone number

email address

Emergency Contact (Give name and phone number of 1 - 2 people to contact if we cannot get in touch with you.)

Please indicate what school Good News Club your child(ren) will attend.

Does your family attend church? If so, please give the name of the church.

Photo release. I give permission for pictures with my child(ren) in them to be used for CEF promotional purposes. These photos will not be used on public social media sites.

Yes

Parent/Guardian Signature.

To Parents

It is your responsibility to pick up your child promptly at the end of Good News Club. Please find the printable permission slip for more information regarding the club your child will attend. You do not need to fill out the printable flyer if you have submitted this form.

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CEF of MI, Capital Area Chapter

Good News Club® Registration

Good News Club® Registration Form

To Parents