AS-GNC Registration Form Carberry Emmett 3.0a

Good News Club® (GNC) is an exciting, fun-filled weekly club for kids in which the Bible is clearly taught with songs, stories, games

Chldren will learn:

•God Loves them

•Every person has value

•How God can help them do the right thing, find victory in hard times, show love to others, etc.

Who Teaches the Club

GNC teachers are specially trained Christians who are concerned for the well-being of your child. All club workers are screened as required by Child Evangelism Fellowship® Child Protection Policy to ensure your child’s safety.

Time: 2:20 p.m. – 4:00 p.m.

Date: Every Thursday
••••••only on full days of school••••••
Starting Sept. 12, 3:20-5:00 p.m.

Location: Carberry Elementary cafeteria, Emmett, ID

Who can attend? Boys and girls, K-5th grade, regardless of religious background. Parents are welcome to attend with child.

Sponsored by:
Child Evangelism Fellowship of Idaho, Inc.-Treasure Valley Chapter

Hosted and Conducted by: Jolene Zagaris

Contact: 208-830-0912

***CEF does not provide transportation to the Good News Club location.*** Parents must arrange transportation to the GNC location and must pick up each child promptly at GNC end time. Our policies do not allow GNC workers to remain after club. If your child is not picked up immediately after club three times throughout the school year, he/she will not be allowed to continue attending. Thank you for understanding.

The United States Constitution requires schools to respect the right of all external organizations to distribute flyers to students at school if the school permits any such organization to distribute flyers. Accordingly, the school cannot discriminate among groups wishing to distribute flyers at school and does not endorse the content of any flyer distributed at school. The school encourages parents to assist their children in making choices appropriate for them.

This is not an activity of the school or the school district.

Child’s Name (first and last)

School

Homeroom teacher

Grade

Circle one: M / F Birth Date

Date

Age

Street Address:

Apt #

City

State

Zip

List any security/custody issues with this child?

List any special needs ADD, Asperger’s, Dyslexia, etc

Child’s allergies peanuts, chocolate, etc

Family Email

example@example.com

Home phone

Dad’s work/cell phone

Mom’s work/cell phone

Church

Is either parent in the military?

YesNo

Emergency Contact 1 (Relation to child):

Phone

Emergency Contact 2 (Relation to child)

Phone

PERMISSION FOR PICK UP—in addition to those listed above, the following people are allowed to pick up my child:

PRINT FULL NAME (Relation to child)

1

2

Please enter a valid phone number.

Who should be called first regarding pick up?

Indicate how your child will get home on club day.

My child will be picked up after Good News Club.My child will walk home after Good News Club.My child is registered for and will attend extended day/after-school program.

IF checked above enter name of extended day/after-school program.

(child’s name)

is allowed to attend the Good News Club at Carberry Elementary School after schoolevery Friday there has been a full day of school. Club will Start September 12. I understand it is my responsibility to pick up mychild at 4:00 PM and failure to do so will jeopardize my child’s continued participation.

Signature*

Date*

Date

Printed Name*

Good News Club Registration Form 2023 – 2024