LifeWise Academy Permission Slip

Student Registration for LifeWise Hilliard

Hilliard City Schools
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 lunch and recess on the day that fits the public school's schedule
- Students will travel with chaperones to and from their LifeWise classes
- LifeWise Hilliard is currently open for students in Grades 1-5 at Avery Elementary, Hoffman Trails Elementary, JW Reason Elementary, and Washington Elementary. Students may continue to enroll throughout the year.
- Beginning Arpil 17, 2024, LifeWise Hilliard will be open for students in grade 1-5 at Beacon Elementary. Students may begin enrolling now.
- For more details concerning location and transportation, visit our website at lifewise.org/hilliardcityoh
Note: This permission slip will remain in effect as long as the child is enrolled with the local public school.
Student information
Name

First NameLast Name
Birth Date

MonthDayYear
School of Attendance
Grade for 23-24 school year
Classroom/Homeroom Teacher
*If known
Student's 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:
I consent to the photography or video of my student while in LifeWise, for promotional purposes.
Signature of Custodial Parent/Guardian:
Should be Empty:

Student Registration for LifeWise Hilliard

Student information

Parent information