Grace Lutheran School Registration 2020-2021
Please Complete One Form Per Student
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Student Information
Student's Last Name *
Student's First Name *
Student's Middle Name
Grade Level in 2020-2021 *
Student's Address (Street) *
Student's Address (City) *
Student's Address (Zip Code) *
Student family's primary phone number *
Date of Birth (day/month/year) *
Gender *
Ethnicity *
Current Church Name & Denomination
Is Student Baptized
Clear selection
If Yes, Date of Baptism (day/month/year)
If Yes, pleas list the church name, city, and state.
Guardian #1 (Mother, Father, Primary Care Provider, Etc.)
Full Name *
Relationship to Child
Social Security #
Cell #
Address (Street, City, Zip)
Email
Occupation
Work Phone
Work Email
Guardian #2 (Mother, Father, Primary Care Provider, Etc.)
Full Name
Relationship to Child
Social Security #
Cell Phone
Address (Street, City, Zip)
Email
Occupation
Work Phone
Work Email
Other Guardians
List the names, relationship to students, and contact information for any other guardians that should be included in the student's file.
Other Children in family (Name, Age, School, Baptized?)
Emergency Contact/Medical Information
In case of an emergency and we can not contact you, who should we call? ( Please List someone other than the child's parents, step-parents, or guardian.)
Emergency Contact #1 (List Full Name) *
Emergency Contact #1 (List Relationship to student) *
Emergency Contact #1 (List at least one phone number) *
Emergency Contact #2 (List Full Name) *
Emergency Contact #2 (List Relationship to student) *
Emergency Contact #2 (List at least one phone number) *
Doctor's Name and Number
Do you give the school permission to administer the following?
Non-aspirin pain reliever to your child if he/she has a headache or is not feeling well
Clear selection
Antibacterial ointment for minor cuts & scrapes
Clear selection
Does your child have any of the following:
Does your child have any allergies (Please list)
Academic Information
Has your child ever had problems in school with regard to (check all that apply)
Comments:
School Attended during 2019-2020 School Year
Picking Up Students:
Normally, who will pick up your child?
Is there anyone who should NOT be allowed to pick up your child? If so who?
General Information
By checking the boxes below, you are acknowledging that you have reviewed the school policies as outlined in the Handbook:
May the school publish your child's photo in promotional materials or post it on the Internet?
Clear selection
May the school publish your phone number in the school directory?
Clear selection
May the school publish your street address in the school directory?
Clear selection
May your child participate in walking field trips during the school day?
Clear selection
Parental Agreement
The purpose of Grace’s school is to nurture the spiritual and educational needs of the children of Grace Ev. Lutheran Church and other WELS congregations, as well as actively reaching out to our community in general, all in the light of the saving work of Jesus Christ.

Making disciples includes the following:
Using the law to show a need for a Savior

Teaching them the one thing needful, the gospel of Jesus Christ

Training them to be WELS Christians in word and deed by the Holy Spirit working through the means of Grace (the Gospel in Word and Sacrament)

Beginning a process of spiritual growth in faith and life, which we pray will continue throughout their lives

        Serving the educational needs of the children includes instructing them in the academic teachings of this world subject to the truth of the Holy Scriptures.

In enrolling and sending my child to Grace Ev. Lutheran School, I agree to the following:

Attendance at our Lutheran Elementary School is considered in addition to, not a replacement for, normal Sunday church attendance AND Sunday school attendance. *
Required
I will keep my school tuition payments up-to-date by agreeing to the options listed below. Grace Ev. Lutheran School requests that K-8 tuition be paid in one of the following three ways: (Check the option you prefer.) *
Required
For non-WELS members: I will COMPLETE the pastors’ Bible Information Class (BIC) by the end of the second year of enrollment—becoming a member of our congregation IS NOT required.   *
I will support the school discipline policy. *
I will support the school dress code. *
I will participate in parent-teacher conferences. *
I will support the school parking and crossing guidelines. *
To the best of my ability, I will help my child grow both spiritually and academically. *
I will review my child’s Word of God lessons and/or Catechism lessons including memory work each week. *
I will support the overall ministry of Grace Ev. Lutheran Church with my time, talents, and treasures to the best of my ability. *
I understand that not adhering to the above may terminate my child’s continued enrollment. *
Required
I am responsible for reviewing the Current School Handbook. *
I agree to comply with all policies as defined by the Current School Handbook. *
I understand that I still need to complete the following tasks for my child to be fully registered for the 2020-2021 school year *
Required
I, the student's Guardian,  warrant the truthfulness of the information provided in this enrollment application. (Type Full Name Below) *
 I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance. *
Required
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