Emmett Scott Virtual Online GNC Registration Form

Virtual Online Good News Club Registration Form
Thank you for your interest in our online Good News Club. All children are welcome with their parent’s permission. Parents are also welcome.

Please complete the following information to register your child(ren) for the Good News Club.

This Registration is for the Good News Club being hosted by: Mount Zion Baptist Church/Emmett Scott Rec Center

Good News Club Dates: Saturday, Starting November 7, 2020

Good News Club Times: 11:00 a.m.-12:00 p.m.
List children's names & grades.
First Name Last Name *
First Name Last Name
First Name Last Name
First Name Last Name
Family email address: Email* Family phone number Phone Number*
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
School *
County *
When we receive your completed permission form, we will send information on how to access the online Good News Club. For your child's safety, only children with permission from parents may attend. Also, teachers in our clubs have been screened according to the Child Protection Policy of Child Evangelism Fellowship.

Children may invite friends by having them register at: www.cefcrc.org (under the school they attend). Chester, Lancaster, York counties only.

Please feel free to contact us if you have any questions.

Willie Johnson (803)328-3041 email: wrjohnson66@aol.com
Due to the nature of online video conferencing platforms, you, as the parent/guardian, understand that your child will participate in a live feed video during the Good News Club. Your child must abide by the rules of the online Club or may be disconnected until the next Club meets. Continual disruption may exclude your child from further entry into the Club time. *

My children, listed on this form, have permission to attend the CEF online Good News Club.
Parent/Guardian Signature: *

Clear
Parent/Guardian Printed Name:
Date *

Month Day Year
(NOTE: On electronic forms, your typed signature has the same effect as your written signature.)
Should be Empty:

Virtual Online Good News Club Registration Form