Good News Club Zoom Permission Slip
Grass Valley - Thursdays - 3:00 pm
* Required
Email address
*
Your email
Thank you for your interest in our online Good News Club. All children are welcome with their parent’s permission. Parents are also welcome. This registration is for the Good News Club hosted by CEF NorCal Greater Sacramento Area.
If you have more than 3 children, please complete and submit this form then fill out again with additional child(ren)'s info!
Child #1 Name (first and last)
*
Your answer
Grade
*
Your answer
Child #2 Name (first and last)
Your answer
Grade
Your answer
Child #3 Name (first and last)
Your answer
Grade
Your answer
School Name
*
Your answer
Default Zoom Screen Name/Device Name (if known)
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Any special needs?
Your answer
Family Email (if different than above)
Your answer
Home Phone
Your answer
Parent #1 Work/Cell Phone
*
Your answer
Parent #2 Work/Cell Phone
Your answer
Do you attend church? If so, where?
Your answer
PARENT/GUARDIAN SIGNATURE REQUIRED: My children, listed on this form, have permission to attend the CEF online Good News Club. (NOTE: On electronic forms, your typed signature has the same effect as your written signature.)
*
Your answer
OPTIONAL Photography and Video Release (Not required for club attendance)
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.) (PARENT/GUARDIAN: type name below to sign)
Your answer
When we receive your completed registration form we will send information on how to access the online Good News Club. For your child’s safety, only children with permission from parents may attend. Teachers in our clubs have been screened according to the Child Protection Policy of Child Evangelism Fellowship.
Information on how to join the Zoom club will be emailed directly to the email address provided. Please contact chelsea.cummins@cefnorcal.org if you have any questions!
A copy of your responses will be emailed to the address you provided.
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