LifeWise Academy Permission Slip

Student Registration for LifeWise Covedale
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 travel with chaperones to and from their LifeWise classes
- For more details, visit our website at lifewise.org/covedaleoh
Note: This permission slip will remain in effect as long as the child is enrolled with the local public school for the duration of the academic year. Children must reenroll each year.
Student information
Name*

First NameLast Name
Birth Date *

MonthDayYear
Grade for 24-25 school year*
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
Please list any student health concerns or food allergies we should be aware of:
YesNo
Signature

Clear
Should be Empty:

Student Registration for LifeWise Covedale