Good News Club® Registration Form PhoneThis field is for validation purposes and should be left unchanged.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, ZipPrimary Phone numberEmail addressEmergency 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. Attwood (Lansing) Starts North (Lansing) Riddle (Lansing) Starts Sept. 18 Greyhound Intermediate Alaiedon (Mason) North Aurelius (Mason) Potterville Elementary Released Time Club (Starts Oct. 14) Wilcox (Holt) Starts Oct. 28 Webberville Bath Elementary Starts Tuesday, Oct. 21 Does your family attend church? If so, please give the name of the church.My child will be: (After school clubs only) Picked up by a parent/guardian at the end of Good News Club each week. attending the After School daycare program at the end of Good News Club each week. Photo 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. (NOTE: On electronic forms, your typed signature has the same effect as your written signature.) Yes No Parent/Guardian Signature.To Parents (For After School Clubs only)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.CAPTCHA
