Online Good News Club® Registration
Complete the registration form below to sign your child up for the February 5, 2021 - March 19, 2021 Online GNC™.
This is not an activity of the school or the school district.
Child's Name
*
First Name
Last Name
Child's Birth Date:
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
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1963
1962
1961
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1959
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1956
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1952
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1950
1949
1948
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1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Address:
Street Address
Street Address Line 2
City
State
Zip Code
Child's School Name
*
School Name
Child's Teacher's Name
*
Mr.
Mrs.
Prefix
First Name
Last Name
Child's Grade
*
Grade
Mother's/Guardian's Name
*
First Name
Last Name
Mother's/Guardian's Cell Phone Number:
*
-
Area Code
Phone Number
Mother's/Guardian's E-mail
*
example@example.com
Father's/Guardian's Name
*
First Name
Last Name
Father's/Guardian's Cell Phone Number:
*
-
Area Code
Phone Number
Father's/Guardian's E-mail
*
example@example.com
Family's Church
*
Church
Is a parent in the military?
*
No
Yes
Military Parent
Does the child have any special needs (ADD, Asperger’s, Dyslexia, etc.)
*
NO
YES
If you answered "YES" to the question above, please list the special needs of the child. (ADD, Asperger’s, Dyslexia, etc.)
Special Needs
Emergency Contact #1
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Emergency Contact #2
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
My is allowed to attend CEF® Online Good News Club® conducted by Child Evangelism Fellowship®, each Friday beginning Friday, February 5, 2021 until the last day being on Friday, March 19, 2021. When we receive this completed registration form we will email you 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®.
*
I hereby grant permission for my child to attend CEF® Online Good News Club®.
Name
*
First Name
Last Name
Signature
OPTIONAL Photography & Video Release Form
Photography & 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.
I hereby grant permission to take photos and/or videos of my child during CEF's Online Good News Club®.
I do NOT grant permission to take photos and/or videos of my child during CEF's Online Good News Club®.
Name
*
First Name
Last Name
Signature
How did you hear about CEF's Online Good News Club®?
Submit Application
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