GNC™ @ Lange Elem. Reg 2025-26 (En)

Good News Club® at Lange Elementary

Registration Form 2025-26
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Good News Club® at Lange Elementary

Registration Form 2025-26
TIME: Start - 3:40 PM End - 4:55 PM

DATE: Every Wednesday, October 22, 2025 - April 29, 2026

***only on full days of school***

LOCATION: Dorothea Lange Elem. - Room 66

WHO CAN ATTEND? Boys and girls, K-6th grade, regardless of religious background. Parents are welcome to attend with child.

SPONSORED BY: Child Evangelism Fellowship of Southern CA, Inc. - SLO County Chapter (805) 461-1146

HOSTED BY: Child Evangelism Fellowship^®

CONTACT: Jim Dill (805) 550-0940
***CEF^® does not provide transportation to the Good News Club location.***

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

Good News Club® at Lange Elementary

Registration Form 2025-26
Do you give your permission for Child Evangelism Fellowship® to use photo's or videos of your child for advertising, educational and promotional purposes?*

YesNo
(NOTE: On electronic forms, your typed signature has the same effect as your written signature.)

OPTIONAL Photography 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 Evangelims 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.

Good News Club® at Lange Elementary

Registration Form 2025-26
(NOTE: On elecronic forms, your typed signature has the same effect as your written signature.)
(child's name)* is allowed to attend the Good News Club at Dorothea Lange Elementary after school every Wednesday there has been a full day of school. Club will run form October 22, 2025 - April 29, 2026. I understand it is my responsibility to pick up my child at 4:55PM and failure to do so will jeopardize my child's continued participation.
Parent/Guardian Signature*
(NOTE: On electronic forms, your typed signature has the same effect as your written signature.)
Date*

MonthDayYear

Hour Minutes
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Good News Club® at Lange Elementary