Good News Club Registration

Note: Fields highlighted pink are required!

Club Information

Club: Manchester
2026 - 2027
Day of WeekStart TimeEnd Time
Wednesday 4:15 pm 5:15 pm
Team Lead(s)Phone #Email
Gary Mills717-965-5695skmills45@hotmail.com
Sandra Mills717-965-5688skmills45@hotmail.com
Please contact the team lead directly for any questions, concerns, or registration issues.

Child Information

Parent/Guardian #1

First Name
Last Name
Phone #
Email
Address

Parent/Guardian #2

First Name
Last Name
Phone #
Email
Address

Additional Contacts - Pickup or Emergency

Final Details

Church Affiliation
Note - we will try to accomodate your childs needs, but we are not equipped to handle all situations.

Signature