2021-2022 GOOD NEWS CLUB® REGISTRATION FORM
has my permission to attend the Good
(Child's Name)
News Club at every after
(Elementary School) (Weekday)
school from pm for the 2021-22 school year. (Full days only)
Print Name
Parent/Guardian Signature
GOOD NEWS CLUB® (GNC) is a FREE, exciting, fun-filled weekly
club for kids in which the Bible is clearly taught with songs,
stories, and games…emphasizing respect for authority, moral
values and character development based on Biblical
principles.
Why Register?
Good News Clubs are sponsored by specially-trained
Christians in your community who are concerned for the
spiritual well-being of your child. All club workers are
screened as required by CEF's Child Protection Policy to
ensure your child’s safety.
Who teaches the club?
Students in grades Kindergarten - 5th grade are invited to
attend with parent permission, regardless of religious
background. Parents are welcome and encouraged to attend.
Who can attend?
EVERY FROM PM.
(WEEKDAY) (TIME)
START DATE: LOCATION:
CONTACT: PHONE:
(LEADER’S NAME) (LEADER’S PHONE #)
These materials are neither sponsored by or endorsed by the
Board of Education, the Superintendent, or this school.
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.
YOUR CHILD IS INVITED TO THE GOOD NEWS CLUB!
M/F (circle one)
Age Grade
City/State Zip)
Child’s birthday
Address
(Street
Date
Parent or guardian in the military? (circle one) YES NO
Mother/Guardian
Primary Phone & Email
Father/Guardian
Primary Phone & Email
IF YOUR CHILD WILL BE JOINING GOOD NEW CLUB PERSON-TO-PERSON, COMPLETE THE SECTION BELOW.
My child (circle or select one) : walks home/will be picked up/is in after-care/rides the bus
PHOTOS: You (circle or select one) : may / may not take pictures of my child for GNC
promotions.
Security/custody issues with this child?
Food allergies or medical conditions?
EMERGENCY CONTACTS (Please list two):
Name & Phone
Name & Phone
PERMISSION FOR PICK-UP (Others authorized to pick up my child):
Name & Phone
Name & Phone
