Student Registration Form

Must be filled out by a parent or guardian. 

    Student Information

    Student Health Information

    My child has:

    A life-threatening condition

    An Epi-pen at school. If so, please contact Leigh at 803-348-5660

    Medication at school that they may need during class

    Parent or Guardian Information

    Emergency Contact Information

       I am the parent or legal guardian of this student.

    I request that my child be released from school during an elective class period to attend off-campus
    Bible classes. The Bible classes are offered without regard for race, religion, sex, national origin or
    handicap. All students must have parental permission and will be escorted off school property and
    returned after each period by church staff. The local church carries all necessary insurance and is
    legally responsible when students leave school property. The Bible classes are offered during the school
    day, but are not part of the public school. The school does not endorse or oppose the Bible class but
    accommodates the wishes of parents to release their children for the Bible class.

    I Agree

    I understand that local churches have adopted the discipline code of my child’s school and that my child
    may be removed from the Bible class program for violations. I give permission for my child to
    participate in entrance and exit evaluation surveys. I hereby give School Time Bible Ministries and the
    church the right and permission to take, use, and/or publish photographic pictures or video footage of
    my child. These pictures will be used to promote the School Time Bible Program, to recruit volunteers
    for future programs or to post on the School Time Bible Ministries website or Facebook page to inform
    and encourage the prayers of our many faithful supporters. I understand that my child’s name will not be
    used in any way with these pictures to safeguard identities.

    I Agree