GNC Registration Form Independence Elementary 26-27 with Photo Auth

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—Start: 4:00PM - 5:30 PM

Date: Every Monday

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

Beginning: October 26, 2026

Location: Independent Elementary (Room 25)

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, Treasure Valley.

Hosted and Conducted by: Barbie Couter

Contact: (559) 920-2231
***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.
Good News Club Registration Form 2026 – 2027
Child’s Name (first and last)
School
Homeroom teacher
Grade
Birth Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Circle One:
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
Format: (000) 000-0000.
Dad’s work/cell phone
Format: (000) 000-0000.
Mom’s work/cell phone
Format: (000) 000-0000.
Church
Is either parent in the military?
Emergency Contact 1 (Relation to child):
Phone
Format: (000) 000-0000.
Emergency Contact 2 (Relation to child)
Phone
Format: (000) 000-0000.
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
1
Format: (000) 000-0000.
2
2
Please enter a valid phone number.Format: (000) 000-0000.
Who should be called first regarding pick up?
Indicate how your child will get home on club day.
IF checked above enter name of extended day/after-school program.
(child’s name)
is allowed to attend the Good News Club at Independence Elementary (Room 25) after school every Monday there has been a full day of school. Club will start October 26, 2026. I understand it is my responsibility to pick up my child at 5:30PM and failure to do so will jeopardize my child’s continued participation.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Print Name
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 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.
Parent/Guardian Signature
Date
Parent/Guardian Printed Name
Child's Name
Should be Empty:

Good News Club Registration Form 2026 – 2027