Proehlific Park Good News club

Join us Thursday afternoons for a fun and exciting afterschool club designed to encourage your child. Child Evangelism Fellowship will be hosting an afterschool program called the Good News Club, beginning October 9th, on Thursday afternoons from 3:30pm - 4:30pm, when there is a full day of school. This club includes Bible lessons, music, snack, games, friendships, and volunteers from CEF Greater Greensboro to encourage your child! Make sure to invite your friends. For questions contact: Pat Cheek, 816-729-3253.

Guardian's Name*

First NameLast Name

Guardian's Name

First NameLast Name

Child's Name*

First NameLast Name

Date of Birth*

Gender*

MaleFemale

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Guardian 1 work/cell #

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Guardian 2 work/cell #

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Home Phone #

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Grade *

If you attend church what church do you attend?

May we send you information via text?*

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Emergency Contact 1*

First NameLast Name

Relationship to child*

Phone Number*

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Emergency Contact 2*

First NameLast Name

Relationship to child*

Phone Number*

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List any security/custody issues with this child

List any special needs (ADD, Asperger's, Dyslexia, Etc)

Child's allergies (Peanuts, Chocolate, Etc)

My child, Student First Name* Student Last Name* is allowed to attend the Good News club at Proehlific Park / Academic Center each Thursday (beginning Oct 9, 2025). Club will run from 3:30 PM until 4:30 PM and my child will attend instead of attending homework groups.

Child Evangelism Fellowship may, from time to time, document the activities of the
CEF 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 from these CEF activities of me or my minor child, without reservation or limitation royalty free, including use of photographs or video of me or my minor child for, advertising, educational and for CEF promotional purposes

I, Parent First Name Parent Last Name , understand that I am giving photo and video consent as listed above for my child, First Name Last Name do understand that typing my name is valid as a signature and issue my consent on Date .

Proehlific Park Good News Club