MUST BE FILLED OUT BY A PARENT OR GUARDIAN

Student Information

Full Name*

Gender*

Birth Date*

School & Grade

Register for School Year - 2023-24*

Address*

City*

States*

Zip Code*

Church Name (if applicable)

Student Health Information

Health Problems or Special Needs*

My child has a life threatening condition*

My child has an Epi-pen at school. If so, please contact 803-466-2453*

Yes No

Medication at school that they may need during class.*

Emergency Contact Information

Full name of Parent or Guardian*

Relationship to Student*

E-mail Address

Cell Telephone*

Additional Telephone

Parent or Guardian Information

I am the parent or legal guardian of this student.*

Yes No

I request that my child be released from school during an elective class period to attend off-campus Bible classes. *

I agree

The Bible classes are offered without regard for race, religion, sex, national origin or handicap.*

I understand

All students must have parental permissioin and will be escorted off school property and returned after each period by church staff. *

I agree

The Bible classes are offered during the school day, but are not part of the public school.*

I understand

The school does not endorse or oppose the Bible classes but accommodates the wishes of parents to release their children for the Bible classes.*

I understand

I hereby give Greater Than Life Church the right and permission to take, use, and/or publish photos and videos of my child.*

I agree

These pictures will be used to promote the School Time Bible Program, to recruit volunteers for future programs or to post on the Greater Than Life Church website or social media pages. *

I understand

The pictures will encourage the prayers of our many faithful supporters. I understand that my child's name will not be used in any way with these pictures to safeguard identities. *

I understand

Greater Than Life Church

P. O. Box 1008

Winnsboro, SC 29180

Website: Greaterthanlifechurch.com

Email: Greaterthanlife370@gmail.com

Cell: 803-466-2453, Office: 803-712-0664

Security Text*

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Student Registration Form