Lakeview Good News Club Registration Form Fall 2025

Hosted & Conducted by: CEF South Central IN

Contact: Nanette Dorsett (812) 369-9132, Team Leader

Where: Lakeview Elementary School

When: Fall: Thursdays, Oct 2nd- Nov. 13th

Spring: Thursdays, Jan. 29th - March 5th

Directly after school

Dismissal: 6:00 PM

Who can attend? All boys & girls grades K-6, regardless of religious background.

Please Note: At dismissal, children will be sent to the designated Good News Club room. Parents must pick up each child promptly at the end of the club. Our policies do not allow Good News Club workers to remain with the children after club.

Registration will close 1:00 PM each Thursday of Good News Club, but will reopen the following day. This is to ensure communication for after school care, transportation and safety of each child.
Lakeview Good News Club Registration Form Fall 2025/ Spring 2026 (see dates above)

Good News Club (GNC is an exciting, fun-filled weekly club for kids in which the Bible is clearly taught with songs, stories, games, and more!
Email*
example@example.com
Student's Name*

First NameLast Name
School of Attendance*
Child's Teacher*
Last Name Only
Grade*
Gender*

MaleFemale
Age*
Birthdate*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian*

First NameLast Name
Parent/Guardian Primary Phone Number*
Please enter a valid phone number.
Emergency Contact Person #1 and person allowed to pick up my child*

First NameLast Name
Emergency Contact Person #1*
Please enter a valid phone number.
Emergency Contact Person #2 and person allowed to pick up my child*

First NameLast Name
Emergency Contact Person #2*
Please enter a valid phone number.
Home Church (optional)
List any special needs (ADD, Asperger's, Dyslexia, etc.) Please put N/A if not applicable.*
Child's Allergies (peanuts, chocolate, etc.) Please put N/A if not applicable*
Is ONE or more parent in the military?*

YesNo
Does your child have a Bible of his/her own?

YesNo
**Photo & Video Release: Child Evangelism Fellowship® may, from time to time, document the activities of the ministry with photos or videos of club activities. By typing my name below, 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 my minor child for advertising and promotional purposes. Type name below if agree
I agree and give permission
**By typing my full name below, I give my child listed above, permission to attend the Good News Club Fall 2025 Sessions on Thursdays Oct. 2 - Nov. 13 and Spring 2026 Jan. 29 - March 5th. After school-6:00 pm at Lakeview Elementary School. I understand it is my responsibility to pick up my child at 6:00 pm*
parent/guardian
Date

MonthDayYear
Date
Should be Empty:

Lakeview Good News Club Registration Form Fall 2025/ Spring 2026 (see dates above)