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BCA Application

Step 1 of 3

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Student Information

Student's Full Name:(Required)
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Guardian Information

Name of Guardian #1:(Required)
Address:(Required)
What is your relationship to the student?(Required)
Name of Guardian #2:
Address:

Academic Background Information

Which factor(s) most influenced your decision to apply to Bethel Christian Academy? Check all that apply.(Required)

References

Please name two references for the applicant who can provide information relevant to his or her character.
Reference #1 Name(Required)
Reference #2 Name(Required)

Contract Agreement

In making this application, I understand that: 1. Since the fees do not cover the actual cost of educating my child, we recognize that our participation is needed in prayer, service, and gifts in order to properly share in his/her training. 2. The school reserves the right to dismiss any student who does not respect its standards or cooperates in the educational process. 3. After acceptance, a place will be held for my child when the Student Registration Form and the non-refundable registration fee have been submitted to the Business Office by the date indicated on the acceptance letter. 4. It is hereby understood that the guardians will pay tuition for the amount stated by the Business Office. No refunds will be made for fees. Tuition may be paid annually, bi-annually, or monthly. If paid monthly, automatic payments will be set up with a debit or credit card. 5. Students transferring to another school and having attended one day or more of any month will owe the full month’s tuition.

Statement of Cooperation

1. I pledge loyalty to the aims of the school and will bring any and all questions and criticisms directly to the administration so that they may be properly considered for resolution. 2. We will read the Statement of Faith and the Philosophy of Education and are willing to have our child taught in accordance with them. 3. We will read the Student Handbook and will cooperate fully in seeing that the rules and regulations laid down there are met. 4. I give Bethel Christian Academy permission for my child to take part in all school activities, including sports and school-sponsored trips away from the school premises. 5. The Coordinator of Education/Principal and teachers are hereby given full discretion in the discipline of our child. This would include the issuing of disciplinary referrals, detention, suspension and expulsion from the school program. Bethel Christian Academy will never use physical discipline with any student. 6. I agree to hold the school and its agents harmless for any liability to my child or any guardian or parent thereof because of any claims on behalf of my child against the school or any agent thereof because of any injury or alleged injury to my child. Should legal action, for any reason, be taken against Bethel Christian Academy or any employee or agent thereof, on my child’s behalf and the school or its agent not be found at fault. I agree to pay any attorney fees, damage or other costs that Bethel Christian Academy or its agent should incur to defend itself against such action, and would immediately withdraw my child from school as soon as such action had begun. 7. This statement of cooperation will be in effect for as long as my child/children attend Bethel Christian Academy. 8. The school reserves the right to dismiss any student who does not cooperate with the educational process. If a student is dismissed for any reason, the tuition will not be refunded or prorated.
Electronic Signature(Required)
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School Information

Please list each school the student has attended starting with the most recent.
School #1
Name of School
City & State
Grades Attended
 
School #2
Name of School
City & State
Grades Attended
 
School #3
Name of School
City & State
Grades Attended
 

School Records Release: I hereby authorize the release of all educational records to and from Bethel Bible Village and the schools listed above for the child listed below.

Child's Full Name(Required)
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This is my electronic signature as this child's legal guardian. With this signature I authorize the release of all educational records to and from Bethel Bible Village and the schools listed above.(Required)
This information includes special education records, if applicable. I understand the information released will be used to determine present and/or future needs for the well-being of this child. All information will be placed in the child’s private file and will only be available to appropriate personnel and/or agencies. This consent for release is given freely, voluntarily, and without coercion and is valid for one year from the date signed.
This authorization is valid for one year from the date signed below.
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BETHEL BIBLE VILLAGE
3001 HAMILL ROAD HIXSON, TN 37343
(423) 842-5757
info@bethelbiblevillage.org

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Helping children find freedom from the past and hope for the future | © Bethel Bible Village 2021 All rights reserved.