Yaquina View GNC Release Time Registration Form 2022-2023

Please use this form to�register your child for the Yaquina View�Good News Release Time Club. Thank you!

Time:�12:30-1:30 pm�
Date:�Every Tuesday�on full days of school, October 18, 2022 to March 23, 2023
Location:�We will be taking the children from school to Newport Christian Church.�
Sponsored by:�Child Evangelism Fellowship�of Lincoln�
Contact: Jolene Morse #541-743-3413�

Dear School staff, and Bible Class Teacher, I am requesting that my child, be excused from school each week for one hour (no more than two hours) for Religious Release, as provided for by Oregon law. Please have my child meet the designated adult teacher or helper at the designated place, at the appointed time, to be transported and/or escorted to a nearby facility and be returned after the release time. As this is an excused absence, please give my child any missed assignments and makeup time to complete them. I understand that my child will be supervised by a Bible Class Teach & helper who have been carefully screened with a background check. Thank you!

Child's Name

Grade

Teacher/Room number

Gender

Male Female

Birthdate

Age

Address

Please list any allergies, special needs, or custody issues.

Church

Parent/Guardian Name(s)

Is either parent/guardian in the miltary?

Yes No

Parent 1 Email

This address will receive a confirmation email

Parent 2 Email

Parent 1 Phone

Parent 2 Phone

Preferred Contact Method

Text Email Call

Emergency Contact 1 (Name, number, relation to child)

Emergency Contact 2 (Name, number, relation to child)

My child named above is allowed to attend the�Good News Club Release Time Class�at Yaquina View every�Tuesday there is a full day of school.�Club will run from October 18, 2022 to March 23, 2023.�

On electronic forms, your typed signature carries the same weight as your written signature.

Signed:

Today's Date:

OPTIONAL Photography and Video Release

Child Evangelism Fellowship� may, from time to time, document the activities of the ministry with photos or videos.

I hereby assign and grant to Child Evangelism Fellowship Inc., its subsidiaries and successors, and assign the unqualified right to the ownership, use and proceeds of all photographs or video of me or my minor child, without reservation or limitation, including use of photographs or video of me or my minor child for, but not limited to, advertising, educational and promotional purposes.

On electronic forms, your typed signature carries the same weight as your written signature.

Signed:

Today's Date:

Child's Name

Description

Yaquina View Good News Clubï¿½ Release Time Class is an exciting, fun-filled weekly club for kids in which the Bible is clearly taught with songs, stories, games, and more!

Your child will learn:
ï¿½God loves them
ï¿½Every person has value
ï¿½How God can help them do the right thing, find victory in hard times, show love to others, etc.

Who teaches the club?
GNC teachers are specially trained Christians who are concerned for the well-being of your child. All club workers are screened as required by the Child Evangelism Fellowshipï¿½ Child Protection Policy to ensure your childï¿½s safety.

Who can attend?
Boys and girls, K-6th grade, regardless of religious background. Parents are welcome to attend with their child.

Yaquina View GNC Release Time Registration Form 2022-2023

Description

Please Fix the Following