Good News Club Registration

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Please use one form per family

Child's 1 Name *

Child's 1 Grade *

Child's 2 Name

Child's 2 Grade

Child's 3 Name

Child's 3 Grade

Child's 4 Name

Child's 4 Grade

Parent/Guardian Name *

Email *

Address *

Mom's cell phone

Dad's cell phone

Emergency Contact *

Please provide Name/Phone/Relationship to child in the event Parent/Guardian can't be reached

Alternate pick up permission *

Please provide the name of anyone else you are giving permission to pick up your child.

Other information you want to share/Allergy/Dietary info

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