Online Good News Club Permission Form
Thank you for your interest in our online Good News Club for Langford Elementary.
All children are welcome with their parent’s permission. Parents are also welcome.

This Registration is for the Good News Club being hosted by Child Evangelism Fellowship; Columbia-Midlands
Good News Club Dates: 9/22, 9/29, 10/6, 10/13, 10/20, 10/27
Good News Club Times: 4:00 to 4:45 PM

Please provide the following information:
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Email *
First Child's First Name *
First Child's Last Name *
First Child's Grade *
Second Child's First Name
Second Child's Last Name
Second Child's Grade
Third Child's First Name
Third Child's Last Name
Third Child's Grade
Fourth Child's First Name
Fourth Child's Last Name
Fourth Child's Grade
Family phone number *
County *
Due to the nature of online video conferencing platforms, you, as the parent/guardian, understand that your child will participate in a live feed video during the Good News Club. Your child must abide by the rules of the online Club or may be disconnected until the next Club meets. Continual disruption may exclude your child from further entry into the Club time. *
Required
Parent/guardian signature: *
(NOTE: On electronic forms, your typed signature has the same effect as your written signature.)
Date *
MM
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DD
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YYYY
When we receive your completed permission form we will send information on how to access the online Good News Club.  For your child’s safety, only children with permission from parents may attend.  Also, teachers in our clubs have been screened according to the Child Protection Policy of Child Evangelism Fellowship.
Please feel free to contact us if you have any questions.
(803) 798-4405   Toll Free: (866) 767-0836            
www.cefcolumbiamidlands.org         
Email: info@cefcolumbiamidlands.org
OPTIONAL Photography and Video Release (Not required for club attendance)
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.
Parent/guardian signature:  
(NOTE: On electronic forms, your typed signature has the same effect as your written signature.)
Date
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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