English Parent Permission Form

**PLEASE NOTE:** Game Day is currently offered in Broward County, the Treasure Coast and Palm Beach. If your school is NOT on the list, and you live in those counties, please feel free to send us an email for more information.
Online Parent Permission Form for FP Game Day Clubs
At Game Day clubs we have 1 hour a week of fun and faith. We have high energy outdoor games and a chance to make new friends. During the second half of our time together we head indoors for a quick snack and a lesson focused on faith-based character values! We have tons of fun! We would love to have your child join us!
School Name*
Student's First Name*
Student's Last Name*
Student's Gender*
Student's Birthday*
Student's Age*
Parent/Guardian's E-mail Address*
example@example.com
Student's Grade*
Current School Year*
Student's Teacher*
Any siblings in Game Day club? If YES, then add names below:
Please note - each child must be registered individually
Address*
City*
State*
Zip Code*
County*

BrowardPalm PeachSt. LucieMartinIndian RiverOkeechobeeMiami-Dade
Mom's Name*

First NameLast Name
Mom's Cell Number*
Please enter a valid phone number.
Dad's Name

First NameLast Name
Dad's Cell Number
Please enter a valid phone number.
Additional Guardian's Name

First NameLast Name
Additional Guardian's Phone Number
Please enter a valid phone number.
Would You like to be added to our FP Game Day e-mail list?*
Do you attend a church?*

YesNoOccasionallyLooking for a church
If yes, what is the name of your church?
Food Allergies (will be displayed on Name Tag)*
Please note: peanuts, dairy, etc.
Any special accommodations needed for your student
Do you attend a church?
Yes, No, Occassionly
(Please have ID ready for all people authorized to pick up your student.)
After Game Day Clubs my child will:*
PLEASE NOTE: STUDENTS AT ***NORCREST, PANTHER RUN, MAPLEWOOD, AND CORAL PARK *** WILL **NOT** BE ALLOWED TO WALK OR BIKE HOME
In addition to the above names, the following individual is allowed to pick up my student:
Please provide Full Name and cell phone below
Phone Number
Please enter a valid phone number.
In addition to the above names, the following individual is also allowed to pick up my student:
Please provide Full Name and cell phone below
Phone Number
Please enter a valid phone number.
If your child is not picked up immediately after Game Day Club concludes they will be taken to the office. You will be responsible for any possible fee incurred.
Game Day Clubs are faith-based Christian clubs not endorsed or affiliated with this school or District. You can trust that our dedicated volunteers are carefully screened and trained. Please note, 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.
As a parent, you can register to be screened and trained as a volunteer on campus. We would love to have you be a part of your child's club experience.

Please contact Game Day for more information!
By signing this form below, you hold harmless the School Board, this school, Game Day, ministry staff or volunteers, its employees and agents from any and all claims, suits, liability, actions, judgments, attorneys’ fees, costs, and any expenses of any kind resulting from injuries or damages, sustained during or related to my child's participation or involvement in Game Day Clubs.
Parents/Guardians: Please note, sometimes our staff takes photos and videos during our club time to provide to parents and for promotional purposes*

I GRANT PERMISSION to Game Day the right to reproduce photographs and/or video images of my student 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
Should be Empty:

Online Parent Permission Form for FP Game Day Clubs

(Please have ID ready for all people authorized to pick up your student.)

If your child is not picked up immediately after Game Day Club concludes they will be taken to the office. You will be responsible for any possible fee incurred.

As a parent, you can register to be screened and trained as a volunteer on campus. We would love to have you be a part of your child's club experience.