CHARACTER EDUCATION FOR THE REAL WORLD

Student Registration for LifeWise Elmwood
In addition to their regular classes, parents have the option of enrolling their children in LifeWise Academy.

• LifeWise Academy is a non-denominational, Bible-Based Released Time Religious Instruction Program with emphasis on Character Education.

• Students attend classes during the day on a schedule that fits the Elmwood school classroom rotation.

• Students will walk with chaperones to and from their LifeWise classes.

• For more details, visit our website at lifewise.org/elmwoodoh
Student information
Name

First NameLast Name
Birth Date

MonthDayYear
Grade for 23-24 school year
Classroom Teacher
*If known
LifeWise Kids T-Shirt Size
Parent information
Name

First NameLast Name
Email Address
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please list any student health concerns or food allergies we should be aware of:
Should a health or allergy-related concern arise during the program, LifeWise personnel will contact the school directly after taking appropriate action.
I consent to the photography or video of my student while in LifeWise, for promotional purposes.
Signature
Should be Empty:

Student Registration for LifeWise Elmwood