Good News Clubs – Faith Outreach Center

Registration for Faith Outreach Center Good News Club

Fields with a star are required fields. Fields will appear red when not correctly filled in. Please review your entries before submission.

After you press “Submit” you will see a confirmation message immediately and receive a confirmation email if all required information is submitted. If you do not see the confirmation message on the site, scroll down to review the form and complete the fields highlighted in red. Then sign and submit the competed form.

If you continue to have difficulties, call or email the club representative listed below. Thank you!

Good News Clubs - Faith Outreach Center

Time: 2:45pm- 3:45pm
Date: Mondays, January 5 - March 30, 2026
Place: Faith Outreach Center - 3105 W Mercury Blvd., Hampton, VA 23666
Who can attend? All students in grades 1 and above. Parents are also welcome to attend with their child anytime.
Sponsored by: CEF of VA Peninsula
Contact for Information: Korey Kelley, cefpeninsula@gmail.com

Child Name *

Birthday - (e.g.; 10/23/2018) *

Age *

Gender *

Male

Female

Grade Level (K, 1, 2, 3, 4, 5) *

Homeroom Teacher *

Child Allergies *

Yes

No

If yes, please list allergies (peanuts, chocolate, etc.)

Is parent in military? *

Yes

No

Does your child attend church?

Yes

No

Name of church attending

Parent/Guardian Name #1 *

Parent/Guardian Phone #1 *

Parent/Guardian Email #1 *

Parent/Guardian Name #2 *

Parent/Guardian Phone #2 *

Parent/Guardian Email #2 *

Address *

Address

Address

Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Select how your child will get home on club day. *

My child will be picked up

My child will transition to the school’s extended day/after-school program.

These people (include phone numbers) are allowed to pick up my child if I’m not able to:

Name *

Phone Number *

Name

Phone Number

I give my permission for my above-named child to attend the Good News Club during the 2025-2026 school months. *

Yes

I understand it is my responsibility to pick up my child immediately when the club ends. *

Yes

I will send a note to the school requesting my child stay after school to attend the Good News Club. *

Yes

I give permission for photographs/videos of my child to be used in club and ministry promotions.

Yes

Parent/Guardian Signature: Enter your signature in the box using your finger on the touch-pad/track-pad or with your mouse's cursor in the box. *

• Draw It
• Type It
• Clear

Date

Reference Number

reCAPTCHA

If you are human, leave this field blank.

Δ

THIS MATERIAL IS NEITHER SPONSORED NOR ENDORSED BY THE HAMPTON SCHOOL DIVISION OR THIS SCHOOL.