Supplemental Admissions Information & Agreements

Supplemental Admissions Information & Agreements
Child's Name *

First Name Last Name
Grade Level *
Parent's or Guardian's Name *

First Name Last Name
Parent's or Guardian's Email Address
example@example.com
Parent's or Guardian's Phone Number *
Please enter a valid phone number.

Cardiac Awareness Symptoms and Warnings Signs
Parent's / Guardian's Name *

First Name Last Name
Signature *

Clear

Concussion Awareness for Student-Athletes & Parents
Please read the following Concussion Awareness document and sign below to acknowledge that you have read it.
Parent's or Guardian's Name *

First Name Last Name
Parent's or Guardian's Signature *

Clear
Student's Name

First Name Last Name
Student's Signature

Clear

Acceptable Use of Technology
I have read and understand the Berean Academy Acceptable Use Policy regarding in-school use of the computer network and the Internet. I agree to abide by its provisions.

I understand that I have no right to privacy when I use the Berean Academy computer network and the Internet, and I consent to the Berean Academy staff monitoring my communications.

I further understand that any violation of the provisions in The Academy’s Acceptable Use Policy may result in suspension or revocation of my system access and related privileges, other disciplinary action, and possible legal action.

I understand that Berean Academy is not responsible for materials acquired or contacts made on the school’s computer network or the Internet, and I will not attempt to hold Berean Academy responsible for any such materials or contacts.
Parent's or Guardian's Name *

First Name Last Name
Parent's or Guardian's Signature *

Clear
Student's Name

First Name Last Name
Student's Signature

Clear

Parent-Agreement Form
All Academy parents/guardians must read the Parent/Student Handbook and agree to support the rules and procedures therein. By signing this form, you are agreeing to read the Parent/Student Handbook in its entirety by the end of your child’s first week of classes at the Academy.

Summaries of some critical policies are listed below. Please verify that you have read these overviews by signing the bottom of the sheet.

Attendance

After 30 days (or 15 days in a semester) absent from a class, credit will not be given for that class. Affected elementary or secondary students will be required to take summer school courses to fulfill credit requirements. Refer to the handbook for more details.

Classes missed due to unexcused early dismissals or unexcused late arrivals will receive a zero for a daily grade for those classes missed. A student will be considered absent when he/she has missed more than half of the class period. Please get pre-excused forms for doctor’s appointments or necessary early dismissals. Please send a note with your child stating the reason for an absence. Note the handbook for excused criteria.

Child Abuse Policy

By state law, Berean Academy faculty and staff members are considered “mandatory reporters” of suspected child abuse by the state and will abide by state guidelines in reporting suspected child abuse.

Communicable Disease Policy

Berean Academy desires to maintain a healthy school environment by instituting controls designed to prevent the spread of communicable diseases. While it is not our desire to discriminate against any student, the need for protection of the entire student body is crucial. Therefore, any student at Berean Academy or any student who seeks to enroll who is diagnosed to be carrying any communicable or potentially lethal disease may not be given the opportunity to remain or become a student. The concern is twofold: one that other students not be infected, and two, that the ill student not become infected with other diseases transmitted by fellow students or others within the school body.

Health & Accident Policy

Parents or guardians are responsible for all medical bills associated with accidents involving their children. Berean Academy does purchase secondary coverage for students involved in accidents occurring during school-related activities.
Do you give the school permission to use digital photos and other images of your child on its website, social media outlets, or in print for news and advertisement purposes? *
Parent's or Guardian's Signature *

Clear
Parent's or Guardian's Name *

First Name Last Name

Authorization for Pick-Up & Emergency Contacts
Receipt of Policy Statement and TACS Requirements

I have received a copy of the Policy Statement and a copy of "Summary of TACS Requirements for Childcare Centers" (located online in the Parent-Student Handbook).
Child's Name *

First Name Last Name
Child's Grade Level *
List any of the child's medical conditions, including allergies.
Please list the names, relationships and phone numbers of all individuals you authorize to pick up this child.
Emergency Contact Information: Please list additional names, relationships, and phone numbers of those we can contact in the event of an emergency.
Parent's or Guardian's Name *

First Name Last Name
Parent's or Guardian's Signature *

Clear
Should be Empty:

Supplemental Admissions Information & Agreements

Health History Checklist

Concussion Awareness for Student-Athletes & Parents

Acceptable Use of Technology

Parent-Agreement Form

Authorization for Pick-Up & Emergency Contacts