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Standardized Testing Registration Form (ITBS)
The Timothy Ministry @ FBCW is happy to offer the Iowa Test of Basic Skills (ITBS) for standardized testing to our home school community. You must complete one registration form for up to three children in your immediate family. If you have more than three children that need to be tested, you will need to fill out an additional form. However, you may make one payment for all your children.

TESTING DATES: April 30-May 1, 2019
TESTING available for grades 2-12
TESTING FEES - TOTAL per student $70

1. Parents are responsible for completing all the questions below in order for the appropriate test to be ordered for your student.

2. This cost includes paying the test proctor, mailing your test back to BJU Press for scoring, and emailing test results to you.

PLEASE NOTE:
* Every box requires an answer - if the box does not apply to you then simply add N/A in the box for Not Applicable.
* The below questions apply to all of your children that you are registering to test.

If you have any questions concerning testing, please contact us at thetimothyministry@yahoo.com

More testing information is located at www.timothyministry.org under Contents > Standardized Testing Information folder. Please visit this page for more detailed information regarding the ITBS test.

Email address *
Parent Name: *
Your answer
Mom's Cell Phone Number: *
Your answer
Dad's Cell Phone Number: *
Your answer
In the event that you cannot be reached - please list an emergency contact person with their phone number along with their relationship to the child (granny, neighbor, etc.) *
Your answer
How many children will you be registering to take the ITBS with Timothy Ministry? *
I understand that testing will take place only on April 30 and May 1, 2019. *
I understand that I should arrive no later than 8:15 AM and that testing will begin promptly at 8:30 AM whether or not my child or children are there. *
I understand and agree that if my child does not behave or is disruptive, my child will be removed from the testing room immediately so as not to disturb other children testing and I will be called to pick the child up immediately. I agree if my child needs to be removed, this child will not be able to finish that portion of the exam. If I have other children testing that are behaving appropriately they will be allowed to continue testing. *
I understand and agree that my child/children are responsible for their own belongings. I understand and agree that my child/children bring these items at their own risk. I understand that all efforts will be made to find any lost items but I agree that The Timothy Ministry and its members will not be held liable for any lost or broken items of my child/children. *
I understand that The Timothy Ministry is offering GROUP TESTING ONLY and my child/children will be tested with the appropriate grade and other children in a group setting. I further understand that private testing with The Timothy Ministry is NOT Available. *
I understand that I MUST send my child/children with the following items in order to test and I agree to send each of my children with the following items every day during testing: At least two sharpened No. 2 pencils with good erasers; bottled Water; appropriate snacks; and something quiet to work on or read when my child finishes the test section so as not to disturb other testers. Scratch paper will be provided by Timothy Ministry proctors. *
I understand and agree that no electronic devices (with the exception of a calculator) will be allowed in the testing area. They must remain off and inside a purse or backpack. I understand that if my child uses a calculator, I must provide a stand-alone calculator and that my child cannot use a calculator on any other electronic device. *
I understand and agree that The Timothy Ministry is charging $70 that includes the cost of my child's test, the proctoring fee for each child, and a PDF emailed with test results payable via cash or check by March 20, 2019. Payment must be mailed or dropped off to room B201. Mailing address is: Timothy Ministry @FBCW, 11905 Hwy 92, Woodstock, GA 30188 *
I understand and agree that I WILL INSTRUCT my child or children NOT to write in the test booklet or damage it in any way. *
I understand and agree that if my child damages the test booklet in anyway, I will pay for the damage and may be liable for further charges by BJUPress. I agree that The Timothy Ministry will not be held responsible for any damage that my child does to the test booklet. *
I understand and agree that my child's registration will NOT be accepted until the proctoring/tester fee is paid. *
I understand and agree that it is my responsibility to provide a valid email address and look for confirmation from The Timothy Ministry of receipt of my form, payment, and confirmation of testing. *
I understand and agree that once my child's test spot is confirmed by The Timothy Ministry, my fee is not refundable. *
I understand and agree that The Timothy Ministry is not set up for private testing and if my child needs/requires private, one-on-one testing or other special requirements (example: every question being read to the child, oral answers provided instead of written, etc), I understand and agree that The Timothy Ministry is not able to offer those kinds of accommodations. Testing is only offered in a group setting with no special requirements or accommodations being available. *
Name of FIRST Child: *
Your answer
Date-of-birth of FIRST Child: *
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Gender of FIRST Child: *
Grade of FIRST Child: *
Name of SECOND Child: (enter n/a if testing only one student) *
Your answer
Date-of-birth of SECOND Child (enter 1/1/2018 if testing only one student): *
MM
/
DD
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YYYY
Gender of SECOND Child (select n/a if testing only one student): *
Grade of SECOND Child (select n/a if testing only one student): *
Name of THIRD Child (type n/a if testing only one student): *
Your answer
Date-of-birth of THIRD Child (enter 1/1/2018 or today's date if testing only one student): *
MM
/
DD
/
YYYY
Gender of THIRD Child (select n/a if testing only one student): *
Grade of THIRD Child (select n/a if testing only one student): *
Participation Agreement IN CONSIDERATION OF MY CHILD BEING ALLOWED TO PARTICIPATE IN THE CLASSES AND ACTIVITIES PROVIDED OR SPONSORED BY THE TIMOTHY MINISTRY, INC. I ASSUME ALL RISKS, INCLUDING ANY RISKS ASSOCIATED WITH ANY SPECIAL MEDICAL NEEDS OR CONDITION OF MY CHILD, OF MY CHILD’S PARTICIPATION IN ANY SUCH CLASSES AND ACTIVITIES, INCLUDING TRAVEL INCIDENT THERETO. I CERTIFY THAT I HAVE INSURANCE REASONABLY SUFFICIENT TO COVER MY CHILD AGAINST INJURY AND LOSS OF LIFE CAUSED TO MY CHILD OR CAUSED BY MY CHILD IN CONNECTION WITH SUCH PARTICIPATION AND I AGREE THAT ALL EXPENSES RELATING TO OR ARISING OUT OF ANY SUCH INJURIES OR LOSS OF LIFE WILL BE MY SOLE FINANCIAL RESPONSIBILITY AND MY CHILD AND I AGREE TO RELEASE, HOLD HARMLESS AND INDEMNIFY FIRST BAPTIST CHURCH WOODSTOCK AND THE TIMOTHY MINISTRY, INC. AND THEIR CONTROLLING PERSONS, SUCCESSORS, AFFILIATES, ASSIGNS, MEMBERS, MANAGERS, DIRECTORS, OFFICERS, EMPLOYEES, VOLUNTEERS, AGENTS OR REPRESENTATIVES FROM AND AGAINST ANY AND ALL LIABILITY FOR ANY HARM, INJURY, DAMAGE, CLAIMS, DEMANDS, ACTIONS, CAUSES OF ACTION OR COSTS AND EXPENSES OF ANY NATURE FOR WHICH MY CHILD, MY CHILD’S FAMILY, ESTATE, HEIRS, ADMINISTRATORS, REPRESENTATIVES AND ASSIGNS MAY HAVE OR WHICH MAY HEREAFTER ACCRUE TO MY CHILD, MY CHILD’S FAMILY, ESTATE, HEIRS, ADMINISTRATORS, REPRESENTATIVES AND ASSIGNS, ARISING OUT OF OR RELATED TO ANY LOSS, DAMAGE, OR INJURY, INCLUDING BUT NOT LIMITED TO SUFFERING, PAIN, DISABILITY AND SEVERE INJURY (INCLUDING DEATH), THAT MAY BE SUSTAINED BY MY CHILD IN CONJUNCTION WITH MY CHILD’S PARTICIPATION IN THE CLASSES AND ACTIVITIES. I HAVE READ THE ABOVE MEDICAL CONSENT/RELEASE AND UNDERSTAND AND HEREBY AGREE TO ITS TERMS. *
A copy of your responses will be emailed to the address you provided.
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