Innovation Church - Good News Club

Good News Club 2026

Permission Form
Oct 15, 22, and 29
Nov 5, 12, and 19

By filling out this form, I give my permission for my child or children to attend the Good News Club (GNC), Thursdays after school until 5:30 pm. I understand it is my responsibility to pick up my child at 5:30 p.m. at Swiftwater Elementary.
**Special Note for Grades 4-6: My signature below gives permission for a GNC van driver/volunteer to transport my child to the elementary school for GNC.

Student's Name:

Student's Birthday:

Student's Gender:

Male

Female

Student's Age:

Student's Grade:

Student's Homeroom Teacher:

Student's Allergies:

Student's Special Needs:

Parent / Guardian's Information:

Guardian's Name:

Guardian's Cell Phone Number:

Guardian's Email Address:

Emergency Contact Information:

Additional Emergency Contact Name:

Emergency Contact Phone Number:

In case I am unable to pick up my child,
the following person has my permission to do so. (Must show ID)

Name:

Cell Phone Number:

Any Pick-Up Issues?

Church Affiliation:

Parent / Guardian Signature: