CHARACTER EDUCATION FOR THE REAL WORLD

Student Registration for LifeWise Ottawa-Glandorf

2023-2024 School Year
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 one day a week during the day on a schedule that fits the public school classroom rotation.
• Students will walk with chaperones to and from their LifeWise classes or be transported by LifeWise vehicle.
• For more details, visit our website at https://lifewise.org/ottawaglandorfoh.
Student information
Name*

First NameLast Name
Grade for 23-24 school year*
School*
Classroom Teacher
*If known
Parent information
Name*

First NameLast Name
Email Address*
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please list any student concerns we should be aware of (health concerns, food allergies, special classroom considerations, etc.):
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.*

YesNo
Signature*

Clear
Should be Empty:

Student Registration for LifeWise Ottawa-Glandorf