CHARACTER EDUCATION FOR THE REAL WORLD

Student Registration for LifeWise North Newton
Morocco Elementary 3rd-6th Grade Only

Lincoln Elementary 5th-6th Grade Only

• 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 public school classroom rotation.

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

• For more details, visit our website at lifewise.org/northnewtonin

Please Note: Students assume responsibility for any missed schoolwork while attending LifeWise.
Student information
Name*

First NameLast Name
Birth Date *

MonthDayYear
Grade for 23-24 school year*
Elementary School
Classroom Teacher
*If known
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
Emergency Contact Person*
Emergency Phone Number*
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.
Yes, I choose to allow my child to attend LifeWise Academy classes.
Yes, I understand LifeWise Academy is not sponsored by North Newton School Corporation.
YesNo
YesNo
YesNoDoes Not Apply
Signature*

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Should be Empty:

Student Registration for LifeWise North Newton

Student information

Parent information