Christmas Party Club Sign-up
Child's Date of Birth
Grade in School
Please enter a valid phone number.
Street Address Line 2
State / Province
Postal / Zip Code
Party Club Your Child Will be Attending
Santiam Christian School - December 9th, 3:05-4:30
Philomath Community Church Gym - December 20th, 3-5 pm
A Christmas Party Club at one of our eight Good News Clubs - Week of December 12th-16th - See GNC page for locations and when.
Guardian's Full Name
"By signing this form, I, the parent (or guardian), do hereby give permission for my child to attend and participate in a Christmas Party Club. I release Child Evangelism Fellowship and the facilities used from liability for any injuries or sickness incurred as a result of my child’s participation in a Christmas Party Club. I hereby assign and grant to Child Evangelism Fellowship full use of all photographs of the above named child, without reservation or limitation, including use of photographs for promotional purposes.”
Any Additional Notes/Food Allergies
Should be Empty: