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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

Student Name*

Answer Required

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Parent Phone*

Number Required

Parent Email*

Answer Required

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

Answer Required

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

Answer Required

Permission/Verification*

Answer Required

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