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Visit Day Registration 2021-22

Please complete the form below. Required fields marked with an asterisk *

The following online registration is required to attend a visit day. Please complete the questions fully below.

Parent/Guardian Name*

Answer required for "Parent/Guardian Name"

Student Name*

Answer required for "Student Name"

Street Address

Answer required for "Street Address"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Parent Phone*

Number Required

Parent Email*

Answer required for "Parent Email"

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

Answer required for "Emergency Contact (Please provide an emergency contact name and number if different from above)"

Notes (If you have a preference for a student host and/or grade level for your personal visit please let us know)

Answer required for "Notes (If you have a preference for a student host and/or grade level for your personal visit please let us know)"

Permission/Verification*

Answer required for "Permission/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