English Parent Permission Form

**PLEASE NOTE:** If your school is NOT on the list, and you live in Broward, the Treasure Coast, Space Coast, Palm Beach or Miami, please feel free to send us an email for information.
Online Parent Permission Form for FP Game Day Clubs
At Game Day clubs we meet once a week for fun and faith (except on early dismissal days or holidays). We have high energy games and a chance to make new friends. Please note, Game Day Clubs are faith-based Christian clubs not endorsed by or affiliated with this school or District. Our dedicated volunteers are carefully screened and trained. All students from 3rd-5th grade are welcome regardless of religious background.
School Name*
Simply start typing the school name
PLEASE NOTE: SPACE IS LIMITED IN OUR CLUBS. FIRST COME, FIRST SERVE

To ensure all children safely enjoy the activities and learning experience, this club is limited to 3rd, 4th and 5th graders. An exception can only be made for a 2nd grade sibling.
Student's First Name*
Student's Last Name*
Student's Birthday*
Student's Gender*
Student's Age*
Parent/Guardian's E-mail Address*
example@example.com
Student's Grade*
Current School Year*
Student's Teacher*
Please include title, Mr. or Mrs.
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*
Please type 5 digit zip code
County*

BrowardPalm BeachSt. LucieMartinIndian RiverOkeechobeeMiami-Dade
Mom's Name (Please enter N/A if not applicable)*

First NameLast Name
Mom's Cell Number (Please enter N/A if not applicable)*
Please enter a valid phone number.
Dad's Name (Please enter N/A if not applicable)*

First NameLast Name
Dad's Cell Number (Please enter N/A if not applicable)
Please enter a valid phone number.
Additional Guardian's Name

First NameLast Name
Additional Guardian's Phone Number
Please enter a valid phone number.
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
***PLEASE NOTE: STUDENTS AT THE FOLLOWING SCHOOLS MUST BE PICKED UP OR GO TO AFTER CARE***

CORAL PARK - FELIX A. WILLIAMS - JENSEN BEACH - MAPLEWOOD - MARIPOSA - MORNINGSIDE - NORCREST - and PEMBROKE LAKES, *** WILL NOT*** BE ALLOWED TO WALK OR BIKE HOME.
(Please have ID ready for all people authorized to pick up your student.)
After Game Day Club my child is:*
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.
As a parent, you can register to be screened and trained as a Parent 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!
Email
example@example.com
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 for promotional materials. I understand that my child may be pictured in group photos.
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 Signature*

Clear
Should be Empty:

Online Parent Permission Form for FP Game Day Clubs

***PLEASE NOTE: STUDENTS AT THE FOLLOWING SCHOOLS MUST BE PICKED UP OR GO TO AFTER CARE***

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

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

PLEASE NOTE: STUDENTS AT THE FOLLOWING SCHOOLS MUST BE PICKED UP OR GO TO AFTER CARE