BETHANY CHRISTIAN ACADEMY
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Student Re-Enrollment Form
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Indicates required field
Student's Name
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Last
Date of Birth
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Grade to Enter
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Additional Student's Name
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Additional Student's Name
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Father's Name
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Phone Number
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Work Phone Number
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Father's Email
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Mother's Name
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Phone Number
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Work Phone Number
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Mother's Email
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Child/Children's Primary residence
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Both Parents
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Person(s) Authorized to pick up child (other than Parents/Guardian))
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Church you Attend
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Primary Contact
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Emergency Contact (other than parents/Guardian)
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Emergency Contact Number
*
Primary Physicians's Name
*
Physician's Phone Number
*
Health Problems (if any)
*
Please list any health problems per child you are Re-Enrolling along with the child's name.
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Home
School Supply Lists
Philosophy
Contact Us
Enrollment Forms
New Enrollment Application
Current Student Enrollment
Tuition & Fees
Calendar
Curriculum
K-5
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6TH Grade
7th Garde
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Merchandise