2021 Virtual Registration Form

Thank you for your interest in our online Good News Club. All children are welcome with their parent/guardian permission. Parents are also welcome.

Please fill out the following information to Register your child(ren) for the Good News Club "Meet & Eat".

All fields marked with * are required and must be filled. Only one (1) form necessary per household/family.

Sponsored/Hosted by: Child Evangelism Fellowship Catawba River Chapter, Rock Hill, SC

Good News Club "Meet & Eat"

Dates: Tuesdays, November 15-May 2, 2023

Times: 6:00-7:00 p.m.

NAME OF STUDENT*

	FIRST	LAST	GRADE	AGE	SCHOOL ATTENDS	TEACHER
CHILD 1

SIBLINGS

	FIRST	LAST	GRADE	AGE	SCHOOL ATTENDS	TEACHER
CHILD 2
CHILD 3
CHILD 4
CHILD 5

Parent/Guardian Printed Names*

Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

County*

ChesterLancasterYorkOther _______________________

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Church child attends blanks Pastor blank

Due to the nature of online video conferencing platforms, you, as the parent/guardian, understand that your child will participate in a live feed video during the Good News Club. Your child must abide by the rules of the online Club or may be disconnected until the next Club meets. Continual disruption may exclude your child from further entry into the Club time. *

Select all that apply:

My child(ren) listed on this form have permission to attend the CEF online Good News ClubMy child(ren) may receive additional resources & materialsMy child(ren)s photos may be used according to the Child Evangelism Fellowship Photo Release Agreement, which is available upon request or by going to www.cefcrc.org/Good News Club

Parent/Guardian Signature*

Clear

When we receive your completed Registration form, you will be sent a Thank You with information on how to access the online Good News Club along with the link. 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.

Children may invite friends by having them register at: www.cefcrc.org. Please DO NOT share the ZOOM link.

Feel free to contact our office if you do not receive your thank you email, materials, etc. or if you have additional questions or comments.

Our contact information is: Donna Robbins Gilster 507-469-5290, office 803-324-9888 or email office@cefcrc.org

2022-23 GOOD NEWS CLUB "MEET & EAT" REGISTRATION FORM