Kessler Good News Club Registration

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Good News Club is an exciting, fun-filled 1 1/2 hour after-school club held once a week.

It includes:

Dynamic Bible Lessons
Creative Learning Activities
Inspiring Missionary Stories
Meaningful Songs
Life-changing Scripture Memory

Your child will learn:

Respect for Authority
Character Qualities
Moral Values
Biblical Principles

Who teaches the club: Specially trained Christians 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.

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Sponsored by: Child Evangelism Fellowship

Hosted and Conducted by: Susan Evans:360-430-4005

Time: After School 2:00 - 3:30 pm.

Dates: Every Wednesday starting Fall Club: Oct 9, 16, 23, 30, Nov 13, 20 Winter Club: Jan 29, Feb 5, 12, 19, 26, Mar 5

Place: Room 1

Who can attend: All boys and girls grades K - 5, regardless of religious background. Parents are welcome to attend with child.

friendly tip:

SCREENSHOT this page to keep track of the dates! :)

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Parent /Guardian: Your child must be picked up immediately after the club ends. Our policies do not allow Good News Club teachers or helpers to remain at school 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 the club. Thank you.

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 Kelso School District

Please fill out the remainder of this application and submit!

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Enter Your Child's Name Below:

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I understand GNC will meet at Kessler Elementary on Wednesdays after school from 2:00 - 3:30 pm. on these dates: Fall Club: Oct 1, 8, 15, 22 Nov. 5, 22 Winter Club: Jan. 28 Feb. 4, 11, 18, 25 Mar. 4

Yes

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I realize that if I have questions or there is a club day emergency, I can contact Susan Evans: 360-430-4005

Yes

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I understand it is my responsibility to pick up my child at 3:30 p.m. and failure to do so will jeopardize my child’s continued participation.Parent/Guardian Signature

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Check here to show how your child will get home on club day.

My child will be picked up in car line.

My child will walk home.

My child attends the school's extended day/after-school program.

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Photo/Video Release Agreement: I grant Lower Columbia CEF & WA State CEF the right to use photographs of my child on the website or newsletter to promote Child Evangelism Fellowship.

Yes

No

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Is either parent in the military?

Yes

No

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Parent/Guardian Initials

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Date:

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Child's First Name

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Child's Last Name

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Birthdate

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Age

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Gender

M

F

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Homeroom Teacher

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Grade

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Address

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Apt

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City

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Parent First Name

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Parent Last Name

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Email

example@example.com

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Home Phone

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Dad’s Cell/Work PhoneOr guardian if applicable

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Mom’s Cell/Work PhoneOr guardian if applicable

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Emergency Contact Person 1

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Phone

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Emergency Contact Person 2

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Phone

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Child’s Allergies

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Child’s Special Needs

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Church

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Pastor

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This person is allowed to pick up my child if I'm not able:

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Phone Number

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This person is allowed to pick up my child if I'm not able:

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Phone Number

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This person is allowed to pick up my child if I'm not able:

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Phone Number