Good News Club Registration/permission Slip Template printable pdf download

GOOD NEWS CLUB REGISTRATION/PERMISSION SLIP

* * * PARENTS: This form only needs to be filled out one time per child per school year.* * *

Child's Name_________________________________________________________________Grade_____________

Address_____________________________________________City_________________State_____Zip__________

Please note if your child has any Food or Food Dye Allergies:_________________________________________

Parent/Guardian's Name________________________________________ Home Phone _____________________

Cell Phone _____________________

Additional Emergency Contact _______________________________________ Phone _____________________

E-mail address for Good News Club e-mails only_____________________________________________________

After the club, my child/children will (please check one):

_____be picked up by car

_____bike or walk home with my permission

_____return to child care

□ Yes, my child’s picture may be used in all CEF Publications

□ No, my child’s picture may not be used

My child(ren) listed above have my permission to attend The Good News Club:

Parent Signature:________________________________________________Date:____________________________

GOOD NEWS CLUB REGISTRATION/PERMISSION SLIP

* * * PARENTS: This form only needs to be filled out one time per child per school year.* * *

Child's Name_________________________________________________________________Grade_____________

Address_________________________________________________City______________State_____Zip_________

Please note if your child has any Food or Food Dye Allergies:_________________________________________

Parent/Guardian's Name_______________________________________ Home Phone ______________________

Cell Phone ______________________

Additional Emergency Contact _______________________________________ Phone ______________________

E-mail address for Good News Club e-mails only ____________________________________________________