One-Time Special Event Registration Form

Party Clubs & Special Events Registration

Ministries of Child Evangelism Fellowship®
Christmas Across America Party clubs are fun-filled events for elementary age children including activities like Bible lessons, games, songs, snacks, memory verses, and more!

Who teaches the club?

Specially trained Christians who are concerned for the spiritual well-being of your child teach the club. All club workers are screened as required by CEF's Child Protection Policy to ensure your child’s safety.

This is not an activity of the school or the school district.
How did you find us? Please select the one that applies to you.

An acquaintance or neighbor invited my childrenI heard about it through promotional materialMy child has attended other programs sponsored by Good News ClubOther
Parent/Guardian Information
Parent's First Name*
First Name
Last Name*
Last Name
Family Email*
example@example.com
Street Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Phone Number*
Can we send you reminders about the club?

EmailTextNo
Name of Secondary Contact

First NameLast Name
Second Contact Phone
Relationship
Relationship of Secondary Contact
Is either parent currently in active military?

YesNo
Children's Information
Children that are attending. Click "Save" after entering each child. Include last name of child if different from person registering*
Reminder: Did you click "Save" after entering each name?
Special Needs - Are there any special needs we should be aware of - allergies (peanuts, latex, etc.), learning or behavioral issue (ADD, Asperger's, Dyslexia, etc.), security/custody issues. Give name of child (if more than one) and a short description.
Please indicate which event you will be attending!
1. Choose the county where the club is located. This will help us assign you to the correct club.
2. Choose the location of the club your child will be attending.
3. Check your invitation for the Club Location.
County where club is located*
Local Chapter
Location (East Central)
Key Contact Email (EC)
Location (Gr Madison Chap)
Key Contact Email (GM)
Location (No Central Chap)
Key Contact Email (NC)
Location (St Croix Chapter)
Key Contact Email (SCV)
Location (SE WI Chapter) *
Key Contact Email (SE)
example@example.com
Location (Upper Fox Chap)
Key Contact Email (UFR)
Location (WW chapter)
Key Contact Email (WW)
Location (WI Chapter)
Key Contact Email (Outlying)
Club Code (optional)
Found on the invitation
Parental Permission
Policies

Child Evangelism Fellowship Policies & Disclaimers are avaiable
Photo and Video Release - Child Evangelism Fellowship® may, from time to time, document the activities of the ministry with photos or videos.*

I hereby assign and grant to Child Evangelism Fellowship Inc., its subsidiaries and successors, and assign the unqualified right to the ownership, use and proceeds of all photographs or video of me or my minor child, without reservation or limitation, including use of photographs or video of me or my minor child for, but not limited to, advertising,educational and promotional purposes.Permission is not granted
Parental Permission

{childrenThat102}

The child(ren) listed is(are) allowed to attend the party club.

I understand it is my responsibility to pick up my child at dismissal time and failure to do so will jeopardize my child’s continued participation.

Parent:{parentsFirst} {lastName}
Parent's Signature*

Clear
Date

MonthDayYear
Should be Empty:

Party Clubs & Special Events Registration

Parent/Guardian Information

Children's Information

Parental Permission