Good News Club Registration

Note: Fields highlighted pink are required!

Club Information

Club: Mt. Airy
2026 - 2027
Day of WeekStart TimeEnd Time
Thursday 3:45 am 5:30 pm
Team Lead(s)Phone #Email
John Mark Armstrong812-202-9497jarmstrong@crosslifebiblechurch.com
Lynn Eglseder410-292-3122cprconfidence@gmail.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