Honeoye Central School Good News Club Registration

Honeoye Central School Good News Club Registration
Calling All Families!

Do you want your kids to learn the wonderful character traits of kindness, obedience, responsibility, and helpfulness?

Do you want your kids to learn a basic knowledge of the Bible?

Do you want your kids to have a ton of fun after school?

SIGN THEM UP FOR GOOD NEWS CLUB!

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Good News Club is an after-school club sponsored by Little Lakes Wesleyan Church.

THE DETAILS:
- GNC is held in the cafeteria at Honeoye Central School after school on Tuesdays, from 3:30pm until 5pm and will run from Oct. 20-Dec. 22nd (no club on Nov. 24).
- Parents are responsible to pick up kids at 5pm.
- All club leaders are background checked, screened, personally interviewed, and approved through Child Evangelism Fellowship, GNC’s parent organization.
- Good News Club is absolutely free!
To register your child, please fill out our registration form below.

If you have any questions or would prefer a paper application, please email clubgoodnews316@gmail.com.
Child's Information
Child's Name

First NameLast Name
Homeroom Teacher
Grade
Sex
Age
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
T-Shirt Size
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child's Allergies
Parent/Guardian Information
Parent/Guardian Name

First NameLast Name
Parent/Guardian Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Father's Phone Number
If different from above.Format: (000) 000-0000.
Mother's Phone Number
If different from above.Format: (000) 000-0000.
Emergency Contact Information
Emergency Contact #1

First NameLast Name
Emergency Contact #1 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact #2

First NameLast Name
Emergency Contact #2 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Pickup Information
Person 1 who has permission to pick up child from Good News Club:

First NameLast Name
Phone Number
Please enter a phone number for the adult named above.Format: (000) 000-0000.
Person 2 who has permission to pick up child from Good News Clubs:

First NameLast Name
Phone Number
Please enter a phone number for the adult named above.Format: (000) 000-0000.
Please select how your child will get home on club days.
Consent/Signature
I, First Name* Last Name* , do affirm that I am First Name* Last Name* 's parent/guardian and that he/she is allowed to attend Good News Club beginning on October 20 and running through December 22, except on half days and school holidays. I understand that it is my responsibility to pick up my child at 5:00 p.m. and failure to do so may jeopardize my child's continued participation.
Signature
This program is not a Honeoye Central School District program. Procedures, supervision, and insurance for children participating in this program are the responsibility of our organization and of the parent. The distribution of this flyer by HCS is for informational purposes and in no way should it be considered that the School District endorses our program and program philosophy. Finally, the Honeoye Central School District reserve the right to withhold distribution of these materials.

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.
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Honeoye Central School Good News Club Registration

Child's Information

Parent/Guardian Information

Emergency Contact Information

Pickup Information

Consent/Signature