Good News Club® Registration

Name(s) of child(ren), ages, and grade (You can include all of your children here so only one form is needed)

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.)

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

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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Email

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CEF of MI, Capital Area Chapter

Good News Club® Registration Form

To Parents