Student Registration for LifeWise Dublin
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 during the day on a schedule that fits the public school classroom rotation.
Students will ride a van/bus with chaperones to and from their LifeWise classes.
For more details, visit our website at:
https://www.lifewise.org/dublinoh
Student information
Name
*
First Name
Last Name
Birth Date
*
-
Month
-
Day
Year
Date Picker Icon
Grade for 23-24 school year
*
Please Select
1
2
3
4
5
Select Your School
*
Please Select
Bailey
Eli Pinney
Classroom Teacher
*If known
Parent information
Name
*
First Name
Last Name
Email Address
*
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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.
I consent to my student participating in the LifeWise Academy Released Time Bible Education Program. This permission slip will remain in effect as long as my child is enrolled with the local public school.
*
Yes, I choose to allow my child to attend LifeWise Academy classes.
I consent to the photography or video of my student while in LifeWise, for promotional purposes.
*
Yes
No
Signature
Submit
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