Good News Club Permission Slip

Good News Club (GNC) is a non-denominational Bible Club.  All are welcome regardless of religious background.

GNC is sponsored by Child Evangelism Fellowship (CEF), a nondenominational outreach in most countries of the world, & serving since 1937.  Our dedicated volunteers are carefully screened. You are cordially invited to attend with your child at any time.

For more information, please contact us at the following:
(803) 798-4405          
www.cefcolumbiamidlands.org         
Email: info@cefcolumbiamidlands.org

Your email address will NOT be used for non-club purposes! Please include so that we may send you important Good News Club reminders.

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Note: Child cannot attend Good News Club without signed permission form.
GOOD NEWS CLUB® REGISTRATION FORM
My child, listed on this form, has my permission to attend GOOD NEWS CLUB®. GNC workers are not allowed to remain with children after the Club; therefore, I understand it is my responsibility to pick up my child immediately at the end of the Club and failure to do so will jeopardize my child’s continued participation in Good News Club. 
Parent/Guardian Digital Signature: *
(NOTE: On electronic forms, your typed signature has the same effect as your written signature.)
Date: *
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Photography and Video Release (Not required for participation in GNC)
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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Parent/Guardian Digital Signature:
(NOTE: On electronic forms, your typed signature has the same effect as your written signature.)
Date:
MM
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Child Information
First Name *
Preferred Name *
Last Name *
Check *
Birth-date *
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Age *
Grade *
Teacher *
Street Address *
City *
State *
Zip Code *
Either parent in the military? *
Home Phone Number *
Food Allergies *
Learning Needs *
Medical Needs *
Church Child Attends *
Pastor *
Contact information
Please include 4 contacts for your child and check Emergency , Pick-Up, or both.
Mother/Guardian First and Last Name *
Mother/Guardian Phone Number *
The above person is Emergency , Pick-Up, or both *
Father/Guardian First and Last Name *
Father/Guardian Phone Number *
The above person is Emergency , Pick-Up, or both *
Other Contact 1 First and Last Name *
Other Contact 1 Phone Number *
The above person is Emergency , Pick-Up, or both *
Other Contact 2 First and Last Name *
Other Contact 2 Phone Number *
The above person is Emergency , Pick-Up, or both *
Select one of the options below to show how your child will get home on club day. *
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