2019-2020 Good News Club Student Registration Form 1st Baptist Church of Springfield / Springfield Elem

Tuesday's 3:10pm until 4:45pm | Thank you for registering your child in the Good News Club at SPRINGFIELD ELEMENTARY

Please complete this form in it's entirety and submit. Complete one form per child. You will receive a confirmation, as well as a confirmation email with all the details about this Good News Club including start date and contact information.

School Name Springfield Elementary
Church Name FBC of Springfield
Coordinator Name Laura Devisscher
Time of Club 3:10 – 4:45
Date club will start & end. Sept 10, 2019- April 2020
Day of week club will meet Tuesday
Where *what room you will meet in Library
What grades can attend.4th and 5th graders
Who can attend? All boys and girls, grades 1st-5th, regardless of religious background. Parents are also welcome to attend with child, however interaction with other children is not allowed without a background check on file with CEF. Please note that registrations need to be completed by Wednesday in order to attend club the next week.
Acknowledgements
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By typing your name below, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this form. You are agreeing that you have read and understand the statements listed above.
 
Child's Information
 
 
 
 
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IF YOU ANSWER NO TO ANY OF THE QUESTIONS BELOW PLEASE PUT N/A IN 'EXPLAIN' SECTION.  THANK YOU.
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Contact Information
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Please enter the BEST email address for correspondence with your child's Good News Club. 
**Announcements and reminders will be sent out via e-mail**

 
 
 
 
 
 
 
 
 
Permission for Pick Up
Below is a list of names allowed to pick my child up from Good News Club **(Please include your name as a pick up person)**
 
 
 
 
 
 
Additional Information
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OPTIONAL Photography 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.
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Description

Tuesday's 3:10pm until 4:45pm
Thank you for registering your child in the Good News Club at SPRINGFIELD ELEMENTARY

Please complete this form in it's entirety and submit. Complete one form per child. You will receive a confirmation, as well as a confirmation email with all the details about this Good News Club including start date and contact information.

School Name Springfield Elementary
Church Name FBC of Springfield
Coordinator Name Laura Devisscher
Time of Club 3:10 – 4:45
Date club will start & end. Sept 10, 2019- April 2020
Day of week club will meet Tuesday
Where *what room you will meet in Library
What grades can attend.4th and 5th graders