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Home
gncregister
>
gncregconfirm
About Us
Outreach
Trainings
>
CYIA
Summer Outreach
>
5-Day Clubs
School Programs
>
Good News Club
Party Clubs
Volunteer
Tools
The Hub
>
Forms & Applications
Designs & Art
Spiritual Growth
>
Video Resources
Book Resources
Web Resources
Just For Kids
Statement of Faith
Donate
Gallery
Register Your Kids for Good News Club by using the form below.
Sponsored by:
CEF
of Lincoln, NE
*
Good News Club
is not an activity of the Lincoln Public School District.
*
Indicates required field
Registration for current year only
New registration must be completed each year
GNC Location Registering For:
*
Please Select
Hartley Elementary
Holmes Elementary
Kahoa Elementary
Maxey Elementary
Meadow Lane Elementary
Rousseau Elementary
Fredstrom Elementary
If you do not see a location listed where you believe there to be a club or where you feel it would be beneficial to children; please email: ministry@ceflincoln.org
Parent/Guardian Information
Adult Name
*
First
Last
Adult Best Phone Number
*
Adult Address
*
Line 1
Line 2
City
State
Zip Code
Country
Adult Email (if none type: none)
*
Relationship to child:
*
Are you interested in helping at this club?
*
Yes
No
Maybe - contact me
Child's Information
Child Name
*
First
Last
Child Best Phone Number
*
Child Address
*
Line 1
Line 2
City
State
Zip Code
Country
Gender
*
Please Select
Female
Male
Not Disclosed
Birth Month
*
01 - Jan
02 - Feb
03 - Mar
04 - April
05 - May
06 - June
07 - July
08 - Aug
09 - Sept
10 - Oct
11- Nov
12 - Dec
Age
*
Birth Day
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Grade
*
Select Grade This Year
Pre-K
Kindergarten
First
Second
Third
Fourth
Fifth
Emergency Contact Information
Emergency Contact #1
*
First
Last
Emergency Address #1
*
Line 1
Line 2
City
State
Zip Code
Country
Emergency Phone Number #1
*
Emergency Contact #2 (optional)
*
First
Last
Emergency Address #2
*
Line 1
Line 2
City
State
Zip Code
Country
Emergency Phone Number #2
*
List any allergies (peanuts, chocolate, etc.)
*
Additional Information
Is either parent in the military?
*
No
Yes; Mom
Yes; Dad
Yes; Both
Why ask about military
*
Please email me why you are asking about military parent(s)
Church Affiliation
*
Anything you would like our staff to know about teaching your child?
*
Model Release - Optional; But you must indicate Yes/No
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 of said child, without reservation or limitation, including use of photographs of said child for advertising and promotional purposes.
Model Release
*
Yes
No
Printed Name as you would sign a document
*
Your typed name on electronic forms is considered a signature. Your permission given or denied will not affect your child's participation in any
Good News Club
. We enjoy sharing with donors and supporters what is going on in club ministries. Your child's safety is our number one concern. Please feel free to select 'NO' should you prefer your child's photo not be taken in a club setting.
Parent/Guardian Agreement
The child I am registering on this form is allowed to attend the
Good News Club
every day club meets. I understand in those locations where a club meets in an elementary school, there will not be club on days where there is no school in session or on an early release day. I further understand it is my responsibility to arrange dismissal for my child after club as noted below. Failure to do so may jeopardize my child's continued participation.
Please Select; how your child will be dismissed
*
My child will walk home
My child will be picked up by parent guardian indicated above
My child goes to extended day/after-school program or daycare
If child is dismissed to daycare, please list facility here:
*
I state all information on this form is true
*
Yes
No
I have questions; please contact me
Submit