Contact Information

Parent/Guardian

Second Parent/Guardian

Child Information

First Child


Gender


*Grade

Second Child


Gender


*Grade

Third Child


Gender


*Grade

Fourth Child


Gender


*Grade

Pick Up Options

A valid ID is required to pick up children.


Select the option below to indicate how your child(ren) will be picked up on club day.

If a parent or guardian is not able to pick up the child(ren), the following persons are authorized. Please note, that they MUST bring a valid ID when picking up.

Participation Consent

The child(ren) listed above has my permission to attend the Good News Club, on Thursdays from 23 March through 27 April, beginning after school until 4:30 PM.

*Please check here to verify that you consent

Photography Consent

I give my consent to photograph my child(ren) and use photographs for Good News Club publications, website, and/or Facebook page.

Please check here to verify that you consent

Church Home


Do you have a church home?

Submit