After School Good News Club Registration
SCHOOL: Vallejo Mill Elementary School (38569 Canyon Heights Dr, Fremont, CA 94536)

Club Dates: 10/30/26 to 12/18/26
Club Time: 2:45pm to 4:15pm
Club Location: Room 504
Contact: Desiree, (510) 277-2931 or defredel@yahoo.com

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 or the school district. This program is not sponsored by Fremont Unified School District and opinions are not necessarily those of the school district or school personnel; Fremont Unified School District accepts no liability for this program/activity.

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This registration is for the Good News Club sponsored by CEF NorCal East Bay
Thank you for your interest in our Good News Club. All children (boys and girls, regardless of religious background) are welcome with their parent’s permission. Parents are welcome to attend with child.
If you have more than 3 children, registering to be in this club, please complete and submit this form then fill out again with additional child(ren)'s information.
Email *
School: *
First Name *
Last Name *
Grade *
Birthdate *
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(Second Child) First Name
(Second Child) Last Name
(Second Child) Grade
(Second Child) Birthdate
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(Third Child) First Name
(Third Child) Last Name
(Third Child) Grade
(Third Child) Birth Date
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If you have more than three children, please select this box and fill out another form.
Family Email (if different than above)
Parent #1 First and Last Name *
Parent #1 Work/Cell Phone *
Parent #2 First and Last Name
Parent #2 Work/Cell Phone
Family home phone number
Is either parent in the Military? *
Street Address *
Apt. #
City *
State *
Zip *
List any security/custodial issues with the child
List any special needs with your child (ADD, Aspberger's Dyslexia, etc.)
Child's Allergies (peanuts, chocolate, etc.)
Emergency Contact Full Name *
Emergency Contact Number *
PERMISSION TO ATTEND
My child(ren) listed are allowed to attend the Good News Club every week after school until the Club concludes. (There will be no clubs on school holidays.) *
How will your child get home on club day? (In-person clubs only)
I understand it is my responsibility to pick up my child immediately after the club or identify where they should go, and failure to do so will jeopardize my child’s continued participation.
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For your children's safety, only children with a signed permission slip may attend the Good News Club.
PARENT/GUARDIAN SIGNATURE REQUIRED: On electronic forms, your typed signature has the same effect as your written signature.) *
NOTE: Children are not the responsibility of the Good News Club team unless they check-in at the start time of club.
Do you attend church? If so, where?
OPTIONAL Photography and Video Release (Not required for club attendance)
(PARENT/GUARDIAN: type name below to sign) 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. (NOTE: On electronic forms, your typed signature has the same effect as your written signature.)
When we receive your completed registration form, we will email/text information for your continued participation in Good News Club. THANK YOU!
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