Please fill out the following information and submit if you plan to visit Bethany. No additional permission form is required. In the event of inclement weather, listen to your local TV or radio stations for cancellations or delays.

Students listed below plan to visit Bethany on the following date: * March 12, 2012

Parent Information Session:

Yes, parent will attend

No, parent will not attend

Check yes above if a parent plans to attend the morning conversation

Parent/Guardian: *

Student name(s) and current grade(s):

Street/Mailing Address:

City:

State:

Postal Code:

Parent Phone:

Parent Email:

Emergency Contact:

Please provide an emergency contact name (if different from above) and phone number

Note:

If you have a preference for a student host and/or grade level to visit, please indicate in the space above.

Permission and Verification: *

By checking this button, I affirm that I am a parent/guardian listed above and hereby give permission for the student(s) listed above to visit Bethany Christian Schools.