Hall Neighborhood Good News Club

Registration for Hall Neighborhood Good News Club

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Good News Clubs - Hall

Good News Club K - 5
Time: 3:30pm - 4:30pm
Date: Wednesdays starting October 14th through December 16th.
Place: Online or Bob & Libbo Hall's house
Who can attend? Boys and girls in K- 6th grades regardless of religious background. Parents are welcome to attend with their child.
Sponsored by: Victory Church & CEF of VA Peninsula
Contact: Libbo Hall; libbohall@gmail.com; 757-865-2207

Child Name *

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

Age *

Gender *

Male

Female

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

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

Choose how your child will attend GNC. *

My child will attend virtually via Zoom online.

My child will attend at Libbo Hall's house.

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

Name *

Phone Number *

Name

Phone Number

To attend the Good News Club during the 2020-21 school year. *

Yes

I understand that if my child attends club at Libbo Hall's house, it is my responsibility to transport my child to and from her house on time, and understand that there's no childcare before/after the club *

Yes

Parent /Guardian: If your child is attending at Dianne's house, please pick your child up immediately after the club ends. Our policies do not allow Good News Club volunteers to remain after club. Thank you.

To be photographed for use 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. *

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Reference Number

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