Face to Face GNC Registration Form

Good News Club® & JYC Registration

Ministries of Child Evangelism Fellowship®
Good News Club® & JYC are an exciting, fun-filled weekly club for kids.

   • Dynamic Bible Lessons     • Creative Learning Activities

   • Inspiring Missionary Stories    • Meaningful Fun Songs

   • Life-Changing Scripture Memory

Your child will learn:

• Respect for Authority • Moral Values

• Character Qualities • Biblical Principles

Who teaches the club?

Specially trained Christians who are concerned for the spiritual well-being of your child teach the club. All club workers are screened as required by CEF's Child Protection Policy to ensure your child’s safety.

This is not an activity of the school or the school district.
How did you find us? Please select the one that applies to you.

An acquaintance or neighbor invited my childrenI heard about it through promotional materialMy child has attended other programs sponsored by Good News ClubOther
Parent/Guardian Information
Parent's First Name*
First Name
Last Name*
Last Name
Family Email*
example@example.com
Street Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Phone Number*
Can we send you reminders about the club?

EmailTextNo
Name of Secondary Contact*

First NameLast Name
Second Contact Phone *
Relationship *
Relationship of Secondary Contact
Is either parent currently in active military?

YesNo
Children's Information
Program

Good News ClubJYC - JesusYouConnection
Children that are attending. Click "Save" after entering each child. Include last name of child if different from person registering*
Reminder: Did you click "Save" after entering each name?
Special Needs - Are there any special needs we should be aware of - allergies (peanuts, latex, etc.), learning or behavioral issue (ADD, Asperger's, Dyslexia, etc.), security/custody issues. Give name of child (if more than one) and a short description.
Indicate how your child will get home on club day*

My child will be picked up after Good News ClubMy child will walk home after Good News ClubMy child is registered for an extended day/after school programOther
Permission for Pick Up - in addition to those listed above, the following people are allowed to pick up my child:
Club Location

Location of club child will be attending
Choose a Club taught by volunteers from your Community.

Good News Club meets the same time each week. The club is open to the public and in many cases meets at a school in your community. Children are encouraged to attend each week. The schedule follows the school schedule.
1. Choose the county where the club is located. This will help us assign you to the correct club.
2. Choose the location of the club your child will be attending.
3. Check your invitation for the Club Location.
County where club is located*
Local Chapter
GNC Club Location (East Central Chap)*
Key Contact Email (EC)
example@example.com
GNC Club Location (Gr Madison Chap)*
Key Contact Email (GM)
GNC Club Location (No Central Chap)*
Key Contact Email (NC)
GNC Club Location (St Croix Chapter) *
Key Contact Email (SCV)
GNC Club Location (SE WI Chapter) *
Key Contact Email (SE)
example@example.com
GNC Club Location (Upper Fox Chap) *
Key Contact Email (UFR)
GNC Club Location (Western WI Chap) *
Key Contact Email (WW)
Club Location (WI Chapter) *
Key Contact Email (Outlying)
Club Location (JYC) *
Key Contact Email (JYC)
Club Code (optional)
Found on the invitation
Parental Permission
Policies

Child Evangelism Fellowship Policies & Disclaimers are avaiable
Photo 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.Permission is not granted
Parental Permission

Name, Birthdate, Grade, Teacher

{childrenThat}

The child(ren) listed is(are) allowed to attend the Good News Club. There will be no clubs on half days and school holidays. Clubs will run concurrent with the school calendar.

If the children are being transported, I give permission for CEF workers to walk or transport them from school to the club location.

I understand it is my responsibility to pick up my child at dismissal time and failure to do so will jeopardize my child’s continued participation.

Parent:{parentsFirst} {lastName}
Parent's Signature*

Clear
Inviting Other families

Children are encouraged to invite friends. Others can register online at gnc.cefwi.org Pass on the invitation with the details of the club.

Other Resources

Other resources and events are organized by the sponsors of Good News Club. Mark "yes" to receive this information by email.
Email me information of future events and resources for my children.

Yes
Date

MonthDayYear
Should be Empty:

Good News Club® & JYC Registration

Parent/Guardian Information

Children's Information

Club Location

Parental Permission