Child Registration Name of School / Club Location Brinley Middle, Thursdays @ 2:50pm starting Sept 26th Bunker Elementary, Mondays @ 2:15pm starting Sept 9th Christensen Elementary, Thursdays @ 2:20pm starting Sept 18th Deskin Elementary, Fridays @ 3:15pm starting Sept 5th Detwiler Elementary, Mondays @ 2:16pm starting Sept 22nd Floyd Elementary, Tuesdays @ 3:30pm starting Sept 9th Fong ES, Wednesdays @ 2:15pm starting Sept. 17th Galloway Elementary, Wednesdays @ 3:15pm starting Sept 10th Garehime Elementary, Wednesdays @ 3:15pm starting Sept 9th Goolsby Elementary, Wednesdays @ 3:11pm starting Sept 24th Gunderson Middle, Tuesdays @ 2:20pm starting Oct 9th Hafen Elementary, Wednesdays @ 3:30pm starting Sept 10th Hannah Brown, Thursdays @ 3:20pm starting Jan 23rd Hayes Elementary, Wednesdays @ 3:15pm starting Sept 10th Hollingsworth Elementary, Fridays @ 3:15pm, starting Sept 12th Indian Springs, Thursdays @ 2:30pm starting Sept 11th J.G. Johnson, Mondays @ 3:30pm starting Sept 8th Katz Elementary, Tuesdays @ 2:15pm starting Sept. 10th King Elementary, Tuesdays @ 3:10pm starting Sept. 9th Manse Elementary, Wednesdays @ 3:30pm starting Sept 10th McDoniel Elementary, Tuesdays @ 2:15pm starting Sept 30th McWilliams Elementary, Thursdays @ 3:15pm starting Sept 11th Mesquite Library, Wednesdays @ 4:00pm starting Sept 16th Nate Mack Elementary, Wednesdays @ 3:15pm starting Sept 10th O'Roarke Elementary, Thursdays @ 3:25pm starting Sept 11th Parson Elementary, Thursdays @ 2:15pm starting Oct 3rd Pinecrest Academy Cadence, Wednesdays @ 3:15pm starting Sept. 17th Pinecrest Academy Horizon, Fridays @ 3:30pm starting Sept 12th Reed Elementary, Wednesdays @ 3:15pm starting Sept 11th Tarr Elementary, Thursdays @ 3:15pm starting Sept 11th Taylor (Glen) Elementary, Thursdays @ 3:15pm starting Sept 26th Taylor (Robert) Elementary, Tuesdays @ 3:15pm starting Sept 9th Treem Elementary, Fridays @ 3:15pm starting Sept 26th Twitchell Elementary, Wednesdays @ 2:15pm starting Oct 15th Vegas Verdes Elementary, Wednesdays @ 3:20pm starting Sept 10th Williams Elementary, Fridays @ 3:20pm starting Sept 20th Child First Name Child Last Name Grade of Child Gender Male Female Child 2 First Name Child 2 Last Name Grade of Child 2 Gender Male Female Child 3 First Name Child 3 Last Name Grade of Child 3 Gender Male Female Child 4 First Name Child 4 Last Name Grade of Child 4 Gender Male Female Any food allergies or medical conditions? Please type n/a or provide appropriate details. Parent / Guardian First Name Parent / Guardian Last Name Parent / Guardian 2 First Name Parent / Guardian 2 Last Name Primary Phone Number Secondary Phone Number Email Home Address City State Country Zip Code My children, listed on this form, have permission to attend the CEF Good News Club. Yes Parent / Guardian Signature Date Emergency Contact 1 First Name Emergency Contact 1 Last Name Emergency Contact 1 Phone Number Emergency Contact 2 First Name Emergency Contact 2 Last Name Emergency Contact 2 Phone Number My child will be (please select one): Picked up by parent/ guardian Walking home Going to Safekey Going to teams Other NOTE: If your child is not picked up within 15 minutes of dismissal and we are unable to reach you or your emergency contacts, we will take your child(ren) to SafeKey. This requires that you pre-register your child(ren) for SafeKey. Please see the school office for registration forms. Your child's safety is our #1 concern. Questions? Call Marianne, Office Manager, at (702) 396-8363. Good News Club is a ministry of Child Evangelism Fellowship. I agree OPTIONAL: Photography and Video Release (Not required for club attendance) I agree Not at this time Photography Release Signature Register
