TWA Enrollment Packet

Emergency Information List

(PLEASE PRINT)
Child's Name:*
Parent (s): *
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent (s) Email: *
Home Phone: *
Please enter a valid phone number.
Dad - Work Phone:
Please enter a valid phone number.
Cell Phone: *
Please enter a valid phone number.
Mom - Work Phone:
Please enter a valid phone number.
Cell Phone:
Please enter a valid phone number.
Emergency Contact (Name): *
Emergency Contact (Phone):*
Please enter a valid phone number.
Person(s) Authorized to Sign Child Out:*

Clear
(NOTE: TWA will not release your child(ren) to anyone not listed on this form.

Verification of ID will be required at the time of pick-up).
Name
Phone
Please enter a valid phone number.
Name
Phone
Please enter a valid phone number.
Name
Phone
Please enter a valid phone number.
Name
Phone
Please enter a valid phone number.
Name
Phone
Please enter a valid phone number.
Name
Phone
Please enter a valid phone number.
Name
Phone
Please enter a valid phone number.
Name
Phone
Please enter a valid phone number.

Emergency Medical Form
CHILD'S NAME*
BIRTHDATE*

MonthDayYear
Date
Suffer an injury or illness while in the care of*
NAME OF FACILITY
and the facility is unable to contact me (us) immediately, it shall be authorized to secure medical attention and care for the child as deemed necessary;

I (We) shall assume responsibility for payment of services.

I (We) agree to keep the facility informed of changes in telephones numbers, etc, where I (We) can be reached.

The facility agrees to keep me informed of any incidents requiring professional medical attention involving my (our) child.

My (Our) child's primary source of healthcare is:
PHYSICIAN/CLINIC NAME*
TELEPHONE NUMBER*
Please enter a valid phone number.
Known medical conditions; i.e.; diabetes, asthma, drug, and food allergies, etc:
Date of last physical: *

MonthDayYear
Date
SIGNED:*

Clear
Date*

MonthDayYear
Date
TELEPHONE: (HOME)*
Please enter a valid phone number.
TELEPHONE: (WORK)
Please enter a valid phone number.
WORK ADDRESS:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
MOM:
DAD:
Form #1003 (Rev. 8/24/2018)

School and Class Rules
1. RAISE YOUR HAND BEFORE SPEAKING.
(Let all things be done decently and in order). 1 Corinthians 14:40
(For God is not the author of confusion). 1 Corinthians 14:33a

2. CONTROL YOUR MOUTH, HANDS, AND ALL BODY PARTS.
(For the fruit of the Spirit is love, joy, peace, kindness, faithfulness, gentleness and self-control) Galatians 5:23

3. ENCOURAGE EACH OTHER.
(Esteem others better than yourself). Philippians 2:3b
(Let it not even be named among you, as is fitting for the saints; ...filthiness, nor foolish talking, no coarse jesting... ) Ephesians 5:4

4. BE POSITIVE.
(Do all things without murmuring and disputing) Philippians 2:14
(I CAN do all things through Christ who strengthens me) Philippians 4:13

5. OBEY AND BE RESPECTFUL.
(Obey them who rule over you). Hebrews 13:7a

6. STUDENTS WILL WEAR PROPER UNIFORM ATTIRE. BOYS AND GIRLS WILL BE WELL GROOMED AT ALL TIMES.

Boys – Blue or Khaki shorts (just above the knee) and pants. A belt must be worn at all times. No sagging pants. No braids, pony tails, bizarre haircuts or unnatural coloring of the hair, no goatee’s or beard’s, and no earrings. If young men have afros, it should be no more than 2 inches. Shirts: Solid Color Polo Style Shirts in Maroon, Hunter Green, Light Blue, NavyBlue, Royal Blue, Red, Orange, Gold, Yellow, White, or Purple. Red Polos are worn on field trips.

Girls – Blue or Khaki shorts, skirts, jumpers, dresses (just above the knee) or pants with a belt. (No sagging pants or unnatural coloring of the hair; only one pair of earrings can be worn). Shirts: Solid color Polo shirt or (Solid) color Peter Pan style blouse in Hunter Green, Maroon, Light Blue, Navy Blue, Red, Orange, Gold Yellow, White, or Purple. All blouses must have a collar.

7. NO RUNNING IN THE HALL.

8. ALL STUDENTS WALK TO THE RIGHT SIDE OF THE HALL.

9. PLEASE NO HANDS ON THEWALL.

10. NO GUM CHEWING/ OPEN BEVERAGE.
Parents and students: Above are the TWA Rules that must be followed. If the student violates any of these rules, the following disciplinary actions will occur:
NOTE: Depending on the severity of the offense, disciplinary action may not follow the 3 warning rule order.

1st warning - Verbal, name on the board

2nd warning-Verbal, check mark by name

3rd warning - Parents will be called

(Proverbs 22:15): Foolishness is bound up in the heart of a child; the Rod of Correction will drive it far from him. (If the teacher has authorization from the parent to discipline the student with the Rod of Correction; the teacher will always be accompanied by a witness).
All rules will be enforced, so that each child can receive the proper education. The teacher must have complete control of his/her classroom, so that he/she will be able to teach effectively.*

I agree with all rules , and I/we will enforce these rules.Parents will be called for the 3rd warning.
• NOTE: You must come within 20 minutes to handle the situation. After three calls for discipline actions, you must change the discipline form to agree with the Rod of Correction or withdraw your child from the school.
The numbers where I can be reached*
Parents, make sure these are good numbers)
Comments:
Signature*

Clear
Date*

MonthDayYear
Date
Form #1002 (Rev. 8/24/2018)

The TWA Student Handbook
I have read The Winning Academy Student Handbook and understand that my child and I, are accountable for the contents contained therein. I have discussed the handbook in entirety, with my child, and can affirm that we will do our part as student and parent to comply with all of the expectations expressed in the handbook.

I have read and will comply with the information contained in the TWA Student Handbook.
Parent/ Guardian Signature*

Clear
I have read and will comply with the information contained in the TWA Student Handbook.
Student's Signature Grade 3 & above*

Clear
Date*

MonthDayYear
Date
ATTENTION PARENTS:
Boys Grooming:

ATTENTION PARENTS:Boys hair must be styled in moderation at all times. Mohawks must be blended on the sides. (No extreme definition in the cut). Students hair must be natural in color. Hair cannot exceed 2 inches in length - (All over, no exceptions). Earrings or piercings are not allowed. *Please note: There are many hair cuts that can be used as reference points; however, the examples mentioned are just a few but are not limited to other cuts that are out of regulation for TWA.

I understand the rules that have been set forth by TWA's Administrator and I will make sure that my child understands the request that has been set forth. I will make sure my child's hair is in compliance. If for some reason, my child's hair is out of regulation , I do also understand that I will be notified to have the violation corrected immediately. Uniform violations for clothing and grooming, will be issued to those students who are out of compliance.
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date
Student's Signature Grade 3 & above

Clear
Date

MonthDayYear
Date

Standard of Conduct
The Winning Academy (TWA) believes that the Bible is the infallible, divine Word of God and that salvation by faith in Jesus Christ is the initial step in the Christian life. There are several scripture references which validate the idea of spiritual growth into the image of Christ, including Roman 8:29 and II Corinthians 3:18. This spiritual growth begins with the initial act of saving faith and continues throughout life. The Holy Spirit makes the Christian conscious of the biblical demands for a holy life which fulfills both God's moral law and the law of love. Our goal is to ensure each student has a God-consciousness.

We, therefore, must provide an environment conducive to their spiritual and academic growth in addition to developing them as young people who are not yet mature Christians. A standard of conduct based on the fol lowing biblical imperatives is necessary to provide such an environment. All the activities of Christians must be subordinated to the glory of God who indwells us (I Corinthians 8:9, 12-13; 10:32). Each student will endeavor to avoid practices which cause the loss of sensitivity to their spiritual needs and loss of the Christian's physical, mental, or spiritual well-being (I Corinthians 9:27).

It's our desire to develop each student physically, mentally, and spiritually. Therefore, we've adopted the fol lowing standards which are believed to be conducive to the environment that will best promote the welfare of students. Accordingly, we request each student, whether at home, school, or elsewhere:
1. Refrain from participating in worldly activities such as swearing (cursing), indecent language, smoking, possession or use of alcohol (liquor), drugs, or tobacco, involvement in the occult, gambling, stealing, dancing, pornography, premarital sex, homosexuality, same-sex marriage, or in involvement in degrading music.
2. Refrain from harassment, fighting, violence, or threats of any kind regardless of provocation ; public disruptions or exhibitionism in any form.
3. Maintain Christian standards in courtesy, kindness, honesty, morality, and modest attire.
Although the selection of the restrictions listed above may seem arbitrary; while not condemning others who see differently, The Winning Academy believes that the restrictions named demonstrates the types of conduct which are detrimental to the standards established as its objective.
Students are expected to abide by these standards throughout their enrollment , whether home, school, or else where. Any student found to be out of harmony with the values and moral ideals of TWA, any student who is violent to others in his actions or makes violent threats, and any student who has been arrested by the authori ties will be subject to administrative withdrawal. It is our goal at TWA to develop strong Christian character and formulate genuine personal interest between the faculty and the students. Attendance of TWA is a privi lege and not a right. Students will forfeit this privilege if they do not conform to the aforementioned standards.
GENDER IDENTITY

Each student will be addressed as male or female. (TWA will ONLY recognize GENDER BY BIRTH and NOT GENDER BY CHOICE).

-All students are accepted on a six-week trial basis.
TWA reserves the right to deny admission to any student if, in the opinion of the administration, it is not in the best interest of the school and/or student.

I have read the Standards of Conduct for The Winning Academy and while enrolled in this institution, I agree to cooperate with and abide by these standards whether home, school, or elsewhere.
Student*
Date*

MonthDayYear
Date
Student
Date

MonthDayYear
Date
Student
Date

MonthDayYear
Date
As a parent, I have read the Standards of Conduct. I will cooperate with The Winning Academy by seeing that my son or daughter maintains these high Christian standards whether at home, school, or elsewhere.
Parent / Guardian*
Date*

MonthDayYear
Date
For I know the thought s that I think toward you, saith the LORD, thoughts of peace, and not of evil, to give you an expected end." Jeremiah 29:11
NON-DISCRIMINATORY POLICY

The Winning Academy admits students of any race, color, religion, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, religion, national and ethnic origin in administration of its educational policies, admissions policies, scholarship programs, and athletic and other school-administered programs.

Please Note: At this time TWA does not have any teachers or staff who have been professionally trained to accommodate any students who may have limited mobility or require any specialized medical care and/or attention other than that which is normally required.
Form #1006 (Rev. 8/24/2018)
Statement Of Cooperation And Waiver Of Liability
I recognize that attendance at The Winning Academy (TWA) is a privilege and not a right. I understand that I am expected to cooperate with and support the Academy, it's teachers, and staff in the education and discipline of my child(ren), in the classroom and during other school-related activities. I believe that good order and discipline are necessary for the welfare of each student attending TWA. I give permission for my child's teacher and/or other staff member authorized by TWA to enforce classroom regulations and policies in a manner consistent with Christian principles. Students shall forfeit the privilege of attending TWA if they do not conform to the standards and way of life. TWA reserves the right to withdraw a student at any time that the student, in the opinion of and at the sole discretion of this administration, does not conform to the spirit of TWA. I further understand that TWA policy prohibits refunds of registration fees or tuition payments.

In the event that the photographer or videographer at TWA takes a picture with my child in it, either individu ally or in a group, I give permission for my child' s picture to be used in future brochures, booklets, or other publications distributed by TWA.

I give permission for my child, whose name is set forth below, to take part in all activities, including without limitation, transportation to and from school for recreational activities, field trips, and any other TWA sponsored events away from the school premises. I indemnify and save TWA, its faculty and staff, harmless from and against any claims, demands, causes of action, liability, medical payments, costs and attorneys' fees resulting from or arising out of the participation by my child in the above-mentioned activities. I understand that TWA does not provide medical insurance coverage for my child and that I will be solely and fully respon sible for any medical expenses or other liabilities incurred.

I understand that should my material status change, it is my responsibility to have a corrected Statement of Co operation and Waiver of Liability signed, updated , and delivered to TWA. This Statement of Cooperation and Waiver of Liability shall remain in effect for as long as my child attends TWA. Any reference herein to "child" shall include and refer to all of the children listed, or others to be enrolled in the future.
List children's name and grade:*
Signature of parents / guardians:
Mother*

Clear
Date*

MonthDayYear
Date
Father

Clear
Date

MonthDayYear
Date
Guardian

Clear
Date

MonthDayYear
Date
Form #1005 (Rev. 8/24/2018)

Student Internet Use Agreement
Student's Name (Please Print)*
Grade Level*
Date*

MonthDayYear
Date
The Winning Academy agrees to allow the student identified above to use the school's technology to access the Internet under the following terms and conditions:

1. Conditional Privilege: The student's use of the school's access to the Internet is a privilege conditioned on the student's abiding to this agreement. No student may use the school's access to the internet unless the student and his/her parent or guardian have read and signed this agreement.

2. Acceptable Use: The student agrees that he/she will use the school's Internet access for educational purposes only. In using the internet, the student agrees to obey all federal and state laws and regulations. The student also agrees to abide by any Internet use rules instituted at TWA, whether those rules are written or oral.

3. Penalties for Improper Use: If the student violates this agreement and misuses the Internet, the student shall be subject to disciplinary action. THE STUDENT WILL BE SUSPENDED. More severe penalties will be accessed to repeat offenders. Repeated violations may result in a student being permanently dismissed from class and thereby receive a failing grade for that class.

4. Misuse of TWA's access to the Internet includes, but is not limited to, the following

Using the Internet for other than educational purposes
Gaining intentional access or maintaining access to materials which are " harmful to minors" as defined by Georgia law
Using the Internet for any illegal activity, including computer hacking and copyright or intellectual property law violations
Making unauthorized copies of computer software Accessing "chat lines"
Using abusive or profane language in private messages on the system; or using the system to harass, insult, or verbally attack others
Posting anonymous messages on the system Using encryption software
Wasteful use of the limited resources provided by the school including paper Causing congestion to the network through lengthy downloads of files Vandalizing data of another user
Obtaining or sending information which could be used to make destructive devices such as guns, weapons, bombs, explosives, or fireworks
Gaining or attempting to gain unauthorized access to resources or files
Identifying oneself with another person's name, password or using an account or password of another user without proper authorization

5. Liability for debts: Students and their cosigners shall be liable for any and all costs (debts) incurred through the student's use of the computers or the Internet including penalties for copyright violations.

6. Expectations: The student and parent/guardian signing below agree that if the student uses the Internet through TWA access, that the student waives the right to privacy the student may have for such use. The student and the parent agree that TWA may monitor the student's use of the school's Internet access and may also examine all system activities the student participates in, including but not limited to email, voice, and video transmissions to ensure proper use of the system. TWA may share such transmissions with the student's parents.

7. No Guarantee: TWA will make good faith efforts to protect children from improper or harmful matter which may be on the Internet. At the same time, in signing this agreement, the parent and student recognize that TWA makes no guarantee about preventing improper access to such materials on the part of the student. In signing this agreement, both student and parent should understand that no student has a right to privacy when using the school Internet, and therefore by using the Internet they are consenting to staff monitoring of their communications.

Parents MUST participate in the decision whether to allow their child access to the Internet and are asked to discuss their own expectations concerning the above regulations with their child before signing this agreement. Failure to return this form will result in your child not being allowed to have a computer account with access to the internet.

By signing below, I and my child are saying that we have read and understand all of the responsibilities listed in this form. As a parent I also am stating that if my child is in conflict with any of these responsibilities I understand disciplinary actions may be taken and if deemed appropriate, I agree to compensate TWA for any expenses or costs incurred as a result of my child's violation of policy and procedure.
Student's Signature *

Clear
Parent's Signature *

Clear
Date*

MonthDayYear
Date

Photography Release Form
Parents name, please print*
give The Winning Academy, (TWA) and The Winning Church (TWC) the absolute right and permission to photograph and/or image my child/children exclusively for the promotion and publicity of TWA and TWC.

I understand that the photographs may be used in publications, print ads, direct-mail pieces, electronic media (e.g. videos, CD-ROMS, on the TWA and TWC website over the internet via the world wide web, etc)

I release The Winning Academy, The Winning Church, the photographers, employees, agents, and designees from liability for any violation of any personal or proprietary right I may have in connection with such use.
Name of Student*
Parent's Signature*

Clear
Date*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone
Please enter a valid phone number.
The Winning Academy 621 Walnut Street Warner Robins, GA 31093 Office: (478) 302-5815
Fax: (478) 302-5810

winning.school
Form #1015 (Rev. 8/24/2018)
Licensure Disclaimer

Please note: The Winning Academy (TWA) is accredited by Georgia Accrediting Commission/Accrediting Commission for Independent Study.

I have read, and I have been made aware that The Winning Academy (TWA's) educational programs are accredited by: The Georgia Accrediting Commission, Inc.
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Fees And Tuition

Emergency Medical Form

School and Class Rules

The TWA Student Handbook

ATTENTION PARENTS:

Standard of Conduct

Student Internet Use Agreement

Photography Release Form