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Student Registration Form
For After-School Good News Club
What Good News Club location will your child attend?
*
Grace Garden Christian Preschool
Growing Tree Preschool
Part I. Student Information
Student's Full Name
*
First Name
Last Name
Student's School
*
Student Grade
*
Please Select
Pre-School
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Student Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Does your child have any allergy? Please explain.
*
If not, please type "N/A".
II. Parents Information
Parent's Full Name
*
First Name
Last Name
Parent's Email
*
example@example.com
Parent's Contact
*
Please enter a valid phone number.
Format: (000) 000-0000.
Affiliated Church
*
If your family does not have a home church, please type "N/A"
Part III. Emergency Contact
In addition to the parent listed above, Emergency Contact Full Name (Relationship To Child) & Phone Number. We encourage you to provide 3-5 additional contacts.
*
Parents/guardians must remain in the lobby during club hours unless your child is registered with the preschool for care during that time. The preschool director will contact you directly regarding any additional requirements.Please list EVERYONE authorized to stay with or pick up your child (Full Name, Relationship, Phone Number)
*
Part IV. Acknowledgement of Photo/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.
*
Yes, I give permission
Submit
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