Bethany Christian School Application

Kindergarten – 12th Grade

Thank you for your interest in Bethany Christian School. Please complete the application below, and our office will contact you regarding the next steps in the enrollment process.

Student Information

Student Full Name Date of Birth Grade Applying For Gender Home Address Previous School

Parent / Guardian Information

Parent / Guardian Name Relationship to Student Phone Number Email Address Emergency Contact Name Emergency Contact Phone

Academic / Church Information

Student Strengths Academic Challenges Does the student have an IEP or 504 Plan? Church Attended Pastor's Name

Medical Information

Medical Conditions / Allergies Current Medications

Additional Information

Anything else you would like us to know? I certify that the information provided is true and complete to the best of my knowledge. I understand that submitting this application does not guarantee acceptance.