Bethlehem Student Registration 2019 - '20
Please complete this form for each student. Information entered is per student, do not combine multiple student information.
Student Name *
Last Name, First Name
Your answer
Grade 2019-'20 *
Primary Contact Information
Primary Home Address (to be used in the school directory) *Leave blank if same as last year*
Your answer
Primary City, State & Zip
ex: Germantown, WI 53022
Your answer
Primary Phone Number *
Phone number to be used in the school directory
Your answer
Primary Email Address *
n/a if not applicable
Your answer
Would you like this Email Address listed in the school directory? *
Mother's Cell Phone Number *
n/a if not applicable
Your answer
Mother's Work Name and Phone Number *
n/a if not applicable
Your answer
Father's Cell Phone Number *
n/a if not applicable
Your answer
Father's Work Name and Phone Number *
n/a if not applicable
Your answer
Alternate Address
If student does not live at the primary address full time. Please include street, city,state & zip code.
Your answer
Alternate Email Address
Your answer
Would you like the alternate address listed in the school directory?
Step Mother's Name and Phone Number
Your answer
Step Father's Name and Phone Number
Your answer
1st Emergency Contact Person and Phone Number *
Last Name, First Name and Phone Number of person to call in an emergency when we cannot reach either parent.
Your answer
2nd Emergency Contact Person and Phone Number
Your answer
Allergies, Medications or Health Concerns we need to know about: *
n/a if not applicable
Your answer
Photo Release *
According to the Photo Release Policy, Bethlehem has my permission to take/use photos of my child. Please see the Photo Release Document on the Tuesday News Page
Internet Usage *
According to the Internet Usage Policy, my child has permission to use the Internet in the classroom. Please see the Internet Usage Document on the Tuesday News Page
Physical Education Permission *
Physical Education is a necessary part of each child's total development. For that reason, every child should participate fully in the physical education activities.
Student Transportation - Morning *
This is designed for student safety and to ensure that parent-made transportation plans occur.
Bus
Shuttle Bus Only
Parent Drive
Walk
Childcare
Monday
Tuesday
Wednesday
Thursday
Friday
Student Transportation - Afternoon *
Please note that our school policy asks parents to inform teachers (note, phone call, email) if afternoon transportation to home changes from the above plan. Again, this is designed for students safety and to ensure that parent-made transportation plans occur. Thank you.
Bus
Shuttle Bus Only
Parent Drive
Walk
Childcare
Monday
Tuesday
Wednesday
Thursday
Friday
Milk Request *
My child will take milk with their daily lunch. (No fee for milk)
Gym Shirt
If your child is in Grades 5-8 they will need (minimum 1) gym shirt. Please choose a size. A $6/shirt fee will be applied on your tuition statement. Please skip if your student is in Grades K-4 or does not need an additional shirt.
Quantity of Gym Shirts to Order
Extra Curricular Activities
All students in Grades 5-8 are eligible to participate in extra curricular activities. Please skip if your student is in Grades K-3. A $40/child yearly sports fee will be applied to your tuition statement. Grade 4 Basketball fee $20
Junior Choir
All students in Grades 5-8 meet once a week (Thursday 2:00 pm) for Jr. Choir with Mrs. Strasser. Please skip if your student is in Grades K-4
Religious Books
Please indicate if your child will need one of the following books: (fees will be applied on your tuition statement) Books will be on the students desk the first day of school.
Yes! We would like to help serve Hot Lunch
Please consider helping serve hot lunch in Meno Falls (11:30am - 1:00pm) and Germantown (10:45am - 1:00pm) Please email Beth Rippel (brippel@bethlehem-wels.org) with any specific scheduling requests for comments. Please check all that apply.
Volunteer Oportunities
We have many Volunteer Oportunities during the school year for parents. Please indicate any and all areas you would be interested in helping with.
Thank you for completing this online registration form. Within 14 days of submitting this form you will be emailed (to your primary email address) a tuition statement. Parent Meetings will be Tuesday, August 13 6:30pm in Germantown OR Tuesday, August 20 6:30pm in Menomonee Falls. Please plan on attending one of these meetings. First Day of School: Monday, August 26, 2019
Comments/Notes:
Your answer
Parent Signature *
The electronic signature below is treated like a physical handwritten signature on a paper form.
Your answer
Submit
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