Child Registration Name of School / Club Location Bunker Elementary, Mondays @ 2:15pm starting Sept 19th Christensen Elementary, Thursdays @ 2:20pm starting Sept 22nd Deskin Elementary, Fridays @ 3:15pm starting August 26th Detwiler Elementary, Mondays @ 2:16pm starting Sept 19th Earl Elementary, Mondays @ 3:15pm starting Sept 19th Garehime ES, Wednesdays @ 3:15pm starting Sept 7th Goolsby Elementary, Wednesdays @ 3:11pm starting Sept 14th Hayes Elementary, Wednesdays @ 3:15pm starting January 25th Hollingsworth Elementary, Fridays @ 3:15pm starting Sept 2nd Katz Elementary, Thursdays @ 2:45pm starting September 1st Mack Elementary, Tuesdays @ 3:15pm starting Oct 18th McDoniel Elementary, Tuesdays @ 2:15pm starting Oct 4th McWilliams Elementary, Thursdays @ 3:25pm starting September 15th Mitchell Elementary, Tuesdays @ 3:15pm starting Sept 6th O'Roarke Elementary, Thursdays @ 3:25pm starting Sept 8th Pahrump Community Church, Tuesdays @ 4:00pm starting November 15th Pinecrest Academy Cadence, Thursdays @ 3:15pm starting October 6th Pinecrest Academy Inspirada, Thursdays @ 3:30pm starting March 9th Reed Elementary, Wednesdays @ 3:15pm starting April 12th Tarr Academy, Thursdays @ 3:30pm starting Sept 1st Taylor (Glen) Elementary, Thursdays @ 3:15pm starting October 6th Taylor (Robert) Elementary, Tuesdays @ 3:15pm starting Sept 13th Treem Elementary, Fridays @ 3:15pm starting Sept 30th Twitchell Elementary, Wednesdays @ 2:15pm starting October 26th Vegas Verdes Elementary, Tuesdays @ 3:20pm starting September 13th Virgin Valley Elementary, Wednesdays @ 3:20pm starting November 2nd Child First Name Child Last Name Grade of Child Child 2 First Name Child 2 Last Name Grade of Child 2 Child 3 First Name Child 3 Last Name Grade of Child 3 Child 4 First Name Child 4 Last Name Grade of Child 4 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, or Colin, Director, 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