CEF of Rochester and the Quad County Area

Good News Club/Party Registration and Five Day Club Registration

Good News Club®

is an exciting, fun-filled weekly club for kids in which the Bible is clearly taught with songs, stories, games…

Children will learn:

• God loves them.

• Every person has value.

• How God can help them do the right thing, find victory in hard times, show love to others, etc.

Who teaches the club?

GNC teachers are specially trained Christians who are concerned for the well-being of your child. All club workers are screened as required by Child

Evangelism Fellowship® Child Protection Policy to ensure your child’s safety.

Who can attend?

Boys and girls, K-5th grade, regardless of religious background. Parents are welcome to attend with their child.

Sponsored by:

Child Evangelism Fellowship of Rochester

PO Box 207, N. Chili, NY 14514

Phone: 585-435-7062

Contact:

Julio Negron, 585-435-7062

CEFRocJulio@gmail.com

**CEF® does not provide transportation to the Good News Club location.***

Parents must arrange transportation to the GNC location and must pick up each child promptly at GNC end time. Our policies do not allow

GNC workers to remain after club. If your child is not picked up immediately after club three times throughout the school year, he/she will

not be allowed to continue attending. Thank you for understanding.

GNC Registration Form

Good News Club Location

Edgerton Rec Center

Cedars of Chili

School 42 Good News Club

School 54 Good News Club

Child's First name

Child's Last name

Child's School

Homeroom Teacher

Grade

Choose One:

Birth Date

Age

Street Address

Apt. #

City, State and Zip

List any security/custody issues:

List any special needs:

List any allergies:

Family Email

Home Phone

Caretaker Cell Phone 1

Caretaker Cell Phone 2

If you have a home church list it here

Emergency Contact 1 (relation to child)

Phone

Emergency Contact 2 (relation to child)

Phone

Permission for pick-up - - in addition to those listed above, the following people are allowed to pick up my child. (Type full name and best phone number)

Indicate how your child will get home on club day

My child will be picked up after Good News Club.

My child will walk home after Good News Club.

My child is registered for and will attend extended day/after-school program.

From time to time we will be taking pictures at Good News Club. This is for you, your child, and others to see the fun kids have during club. May we have your permission to photograph your child?

Yes

Attention! By typing my full name below, I give my child listed above, permission to attend the Good News Club. I also give permission for the people listed on this form to pick up my child.

Digital Signature

Date

CEF of Rochester and the Quad County Area

Good News Club/Party Registration and Five Day Club Registration

GNC Registration Form

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