Online Students Application for Game Day Clubs
Game Day Clubs have high energy games, focus on character values, Bible stories, snacks and more!
Students School
Please Select
4th and 5th Grade ICA Academy
3rd Grade ICA Academy
Young Achievers Academy
MAIN CAMPUS Young Achievers Academy
ECB Educational Center
Silver Shores
Parkridge
Leisure City
West Homestead
Park Trails
Cypress Creek
Pines Charter West
Pines Charter Central
Imagine Charter
Bayview
North Andrews
Innovative Academy
Harbordale
Park Lakes
Croissant Park
Plantation Park
Eagle Point
Manatee Bay
Pompano Beach
Suniland
Pembroke Lakes
Westwood Heights
Quiet Waters
Palm Cove
Pembroke Pines
Renaissance Charter
Norfolk
Walker
Park Lakes
First Name
*
Last Name
*
Students Gender from Birth
*
Please Select
Male
Female
Students Birthday
Students Age
*
Parent E-mail Address
*
example@example.com
Student's Grade
*
Please Select
3rd
4th
5th
Student's Teacher
*
Address
*
City
*
State
*
Zip Code
*
Mom's Cell Number
*
Please enter a valid phone number.
Dad's Cell Number
*
Please enter a valid phone number.
Additional Guardians Phone Number
Please enter a valid phone number.
Would You like to be added to our FP Game Day e-mail list?
*
Please Select
YES
NO
Food Allergies or any special accommodations for your student
*
Do you attend a church?
If yes, what is the name of your church?
(Please have ID ready for all people authorized to pick up your student. NO ID NO STUDENT!)
After Game Day Clubs my child will:
*
Please Select
Car Rider
Attend After-school Program
Goto Parents Classroom
Walk Home or Ride a bike from School (There will be no crossing guards to monitor your child)
The following people are allowed to pick up my Student:
*
If your child is not picked up immediately after Game Day Club concludes they will be taken to the after-school program. You will be responsible for any fee incurred from the after-school program.
Game Day Clubs are faith-based Christian clubs not sponsored or affiliated with this school or District. Clubs do not meet on half days or school holidays. All students from 3rd-5th grade and their siblings are welcome regardless of religious background.
Our dedicated volunteers are carefully screened. You are cordially invited to attend with your child during any club meeting.
Please contact Game Day for more information!
Parents/Guardians: Please note! Game Day will create promotional events with images and video from Game Day clubs. Please indicate below your preference if you and your student can be contacted or participate in these promotional events.
*
I GRANT PERMISSION to Game Day the right to reproduce photographs and/or video images of my children for the sole purpose of publication, promotion, illustration and advertising, in any medium.
I DO NOT WANT my student photographed or videotaped during the club or have any of their images shared in any medium.
Parents Signature
*
Clear
Submit
Should be Empty:
Now create your own JotForm - It's free!
Create your own JotForm