Good News Club Registration Form 2025-2026

Official Registration Form for CEF of Central VA Good News Clubs for the 25-26 School year

Good News Club® (GNC ™)

is an exciting, fun-filled weekly club for kids in which the Bible is clearly taught with songs, stories, & games.

Children will learn:

•God loves them

•Every person has value

•How God can help them do the right thing, find victory in hard times, show love to others, etc.

Who teaches the club?
GNC teachers are specially trained Christians who are concerned for the well-being of your child. All club workers are screened as required by Child Evangelism Fellowship® Child Protection Policy to ensure your child’s safety.

Time—Start: 3:10 PM End: 4:30 PM

Date: Every Thursday, September 18, 2025—November 6, 2025 (Fall Semester)
January 22--April 23, 2026 (Spring Semester)

••••••only on full days of school••••••

Location: Bedford Hills Gym
Who can attend? Boys and girls, K-5th grade, regardless of religious background. Parents are welcome to attend with child.

Sponsored by: Child Evangelism Fellowship of Central VA

Hosted and Conducted by: Rivermont Evangelical Presbyterian Church

Contact: Tasha Yeoman 860-377-7721 or Jennifer Eaton 207-310-4007

*** CEF® does not provide transportation to the Good News Club location. ***

Parents must arrange transportation to the GNC location and must pick up each child promptly at GNC end time. Our policies do not allow GNC workers to remain after club. If your child is not picked up immediately after club three times throughout the school year, he/she will not be allowed to continue attending. Thank you for understanding.

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.

Parent/Guardian Name

This address will receive a confirmation email

If you have more than one child to register, please fill out a separate form for each child.

Child's Name (First)

Child's Name (Last)

School

Homeroom Teacher

Grade

Gender

Male Female

Birth Date

Age

Address

List any security/custody issues with this child:

List any special needs:

Child's Allergies:

Family Email

Cell Phone

Dad's Full Name & Phone

Mom's Full Name & Phone

Church (if applicable)

Is either parent in the military?

Yes No

Emergency Contact 1 (Name, Relation to Child, Phone)

Emergency Contact 2 (Name, Relation to Child, Phone)

Additional adult with permission for Pick Up- in addition to those listed above (Name & Phone)

How will your child go home on club day?

My child will be picked up after Good News Club My child is registered for and will attend the school's after school program My child will walk home after Good News Club

Who should we call first regarding pick up?

I understand that if my child is not walking home or going to an after school program, it is my responsibility to pick up my child promptly at 4:30pm after Good News Club and failure to do so will jeopardize my child's continued participation. Initial Below:

The child named on this form is allowed to attend the Good News Club at Bedford Hills Elementary School after school every Thursday there has been a full day of school. Club will run from 9/18/25-11/6/25 and 1/22/26 - 4/23/26. I understand it is my responsibility to pick up my child at 4:30 PM and failure to do so will jeopardize my child’s continued participation. (Please type your name below as your electronic signature providing your consent for your child to attend Good News Club at Bedford Hills Elementary School.)

I give permission to receive text messages for various informational needs regarding the Good News Club! By saying Yes I am consenting to receive SMS messages from Breeze regarding information and announcements for Rivermont Evangelical Presbyterian Church. I understand that message and data rates may apply and message frequency varies. I can opt out by responding STOP at any time. For support I can text HELP to 87447. Please review the Breeze Privacy Policy and Terms of Service available at breezechms.com for more details.

Yes No

OPTIONAL Photography and Video Release 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. (Please type your name below as your electronic signature providing your consent for your child to be photographed).

Good News Club Registration Form 2025-2026

Description

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