Registration and Release for Bible Break - WRE in Shenandoah County for 2024-25

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This is a program which will be providing religious education in the Christian faith once a week. It is understood that this child will be transported from the school premises by bus for up to an hour and in the care of a teacher, an aide, bus driver, and volunteers.

Email *

Record my email address with my response

Child's Name *

Date of Birth
*

Age *

Gender
*

Male

Female

Required

Address *

School that the child is attending
*

Sandy Hook Elementary

W. W. Robinson Elementary

Honey Run Elementary

Homeschooled

Grade level
*

2nd

3rd

4th

Teacher
*

Parents / Guardian Name
*

Day time phone number
*

Cell Phone number
*

Emergency Contact name
*

Emergency Contact phone number
*

Emergency Relationship
*

Special medical needs
*

Which facility will your child attend? (This is mainly for the home-schooled students.)
*

Strasburg Presbyterian Church - Sandy Hook students will go here by the WRE bus.

Woodstock Church of the Nazarene - WWR students will go here by the WRE bus.

American Celebration in Quickburg - Honey Run students will go here by the WRE bus.

I agree to the exchange of information between my child's school and the Weekday Religious Education program.
*

Yes

My child may be photographed and/or videotaped during activities of WRE. This photo release gives the WRE organization permission to photograph your child and release said photos for publication both online and/or in print media. I understand that photographs and videos may be used to promote the program. *

Yes

Please be aware that

·        Participation in Weekday Religious Education is voluntary and provided at no cost to parents.

·        If arrangements have been made for your child to leave school early (i.e. doctor’s appointment) he/she will remain at the school.

·        Students will be responsible for any class work missed during the time they are released from school.

·        You authorize any required medical treatment until such time you can be reached in case of emergency.

                        SCWREA
                        PO Box 634
                        Woodstock, VA 22664

Weekday Religious Education will follow whatever closures are made by SCPS.

Questions or concerns

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