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2020-2021 Good News Club Registrations
*
Indicates required field
Student's Name
*
First
Last
Student's School
*
Gender
*
Male
Female
Student's Grade
*
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Homeroom Teacher
*
Student's Birthday & Age
*
Parent's Name
*
First
Last
Primary Email
*
Second Parent/Guardian Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Name
*
First
Last
Church (if any)
*
List any Security/Custody issues with the child
*
Secondary Email
*
Primary Phone Number
*
Secondary Phone Number
*
Work Phone Number
*
Is Either Parent In The Military?
*
Yes
No
List any Special Needs (ADD, ADHD, Asperger's, Dyslexia, etc.)
*
List any Allergies
*
Emergency Contact Name
*
First
Last
Phone Number
*
Second Emergency Contact Name
*
First
Last
Phone Number
*
Permission to Pick Up
Name
*
First
Last
Relationship to Student
*
Phone Number
*
Name
*
First
Last
Relationship to Student
*
Phone Number
*
My child has permission to attend Good News Club at Covenant Community Church every 2nd Saturday beginning October 10, 2020 - March 13, 2021. I understand that it is my responsibility to pick up my child at 1:05 PM at the front entrance and failure to do so will jeopardize my child's continued participation.
Parent's Name
*
First
Last
Today's Date
*
Photo and Video Release
Child Evangelism Fellowship may, from time to time, document the activities of the ministry with photos or videos with your permission. I hereby assign and grant to Child Evangelism Fellowship, Inc., its subsidiaries and successors, and assign the unqualified right to 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.
I agree to the Photography Release
*
Yes, I agree
No, I do not agree
Please Type Your Name and the Date
*
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.
THIS IS NOT AN ACTIVITY OF THE SCHOOL DISTRICT.
Submit
Home
Re-Gather Plan
Online Friendship Book
About
I'm New!
Mission Statement
What We Believe
History of CCC
Service Times & Location
Staff
How to Know Jesus
Relational Covenant
Ministries
Kids
>
Good News Club
Youth
>
Youth Missions Trip
Families
>
VBS
Family Resources
Adult Groups and Classes
Local Outreach
World Missions
Ministry Teams
Downloads
Sermons
Podcasts
Documents and Forms
Contact
Calendar
Prayer Request