Student Registration Form

Must be filled out by a parent or guardian. 

Student Information

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