By filling out this form, I (as parent or guardian) agree to allow my child to attend Good News Club after school for the school year 2022-2023. I understand it is my responsibility to pick up my child immediately after the club ends and failure to do so will jeopardize my child's continued participation.
By typing your name below, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this form. You are agreeing that you have read and understand the statements listed above.
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. As a result, federal, state, and local governments and agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. We are doing everything we can to be compliant with all regulations and ensure your safety. We have put in place preventative measures to reduce the spread of COVID-19, but we cannot guarantee that you or family members will not become infected with COVID-19.
By participating in programs, services, and activities of Child Evangelism Fellowship of Georgia you agree to the following:
On behalf yourself and your children, you hereby release, covenant not to sue, discharge, and hold harmless Child Evangelism Fellowship of Georgia, its employees, agents, and representatives, of and from all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating to your participation in our programs, services or activities. You understand and agree that this release includes any claims based on the actions, omissions, or negligence of this organization, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any such program, service or activity. By typing your name below, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this form. You are agreeing that you have read and understand the statements listed above.
Complete the following about YOU the guardian.
Complete the following about your child
Grade
*
Select Option
2
3
4
5
Parent/Guardian Information & Emergency Contact
Information in this section is for the parent/guardian(s) we will contact in an emergency or with important information.
Additional Emergency Contacts
Should a need arise during club and the parent/guardian(s) is not available, whom should we contact? List in the order in which we should contact them.
Additional Persons Allowed to Pick-Up My Child
How will your child get home after Good News Club?
Pick-up Option for My Child
*
Select Option
Carpool Line
GASP After School Program
Please provide the names and phone numbers of any additional persons that you would allow to pick-up your child after club. This includes relatives, friends, and shared rides.
Sometimes we use photos taken during Good News Club on our website and for other publicity purposes. Your "yes" below gives us permission to use your child's picture.
I hereby assign and grant to Child Evangelism Fellowship Inc., its subsidiaries, successors, and church partners, and assign the unqualified right to the ownership, use, and proceeds of all photographs of my child, without reservation or limitation, including use of photographs of my child for advertising and promotional purposes and for the use of our church partners.
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