Registration for Good News Clubs is starting. Use the form below to sign up for a club in your area. Good News Clubs - Coventry Good News Club Time: 3:20pm- 5:00pm Date: Monday, October 3rd through Novemeber 14th 2022. Place: Coventry Elementary School - Room 401 Who can attend? All boys and girls ages 5-12, regardless of religious background. Parents are welcome to attend with their child. Sponsored by: Child Evangelism Fellowship (CEF) of VA Peninsula Contact: 757-291-2091; Dianne Tate; dianne.tate77@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 2022-23 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 to enroll my child in age-appropriate, free Bible lesson course by mail: Mail Box Club (stamp cost only) Yes I give permission for photographs/videos of my child to be used in club and ministry promotions. Yes Contact me about helping with the Good News Club 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