English Parent Permission Form

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
First Name *
Last Name *
Students Gender from Birth *
Students Birthday
Students Age *
Parent E-mail Address *
example@example.com
Student's Grade *
Student's Teacher *
Any siblings in Game Day club? If YES, then add names below:
Address *
City *
State *
Zip Code *
County

Miami-Dade Broward Palm Peach Martin St. Lucie Okeechobee
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? *
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: *
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!
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, grounded in tort or otherwise, that I and/or my child(ren), or my or our representatives, sustain during or related to my child(ren)’s participation or involvement in Game Day Clubs.
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
Should be Empty:

Online Students Application for Game Day Clubs

Game Day Clubs have high energy games, focus on character values, Bible stories, snacks and more!

(Please have ID ready for all people authorized to pick up your student. NO ID NO 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.