CHARACTER EDUCATION FOR THE REAL WORLD

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

• LifeWise Academy is a FREE non-denominational, Bible-Based Program with an emphasis on Character Education.

• We have classes for 1st, 2nd, and 5th graders this year for Clark, Franklin and Kluckhohn students. Classes meet at difference times/days throughout the week depending on their school and grade. Homeschool students are invited to join as well!

• For more details, visit our website at lifewiseacademy.org/lemarsia and check out our Facebook page at LifeWise Le Mars
Student information
Name*

First NameLast Name
Birth Date *

MonthDayYear
Grade for 23-24 school year*
Elementary School*
Classroom Teacher*
Classroom Teacher*
Youth XSYouth SmallYouth MediumYouth Large
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 behavioral concerns, 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.
YesNo
Signature*

Clear
Classroom Teacher
Should be Empty:

Student Registration for LifeWise Le Mars