Student Registration

This form is available when pre-registering students for the school year. This form allows you to include multiple children on the same submission. Multiple submissions are not required.

Step 1 of 4

Children Being Enrolled

First Name

Middle Initial

Last Name

Gender

Birth Date

Grade Entering

Baptized?

Click the plus and minus icons to add or remove children.

Physical Address

Street Address Address Line 2 City State ZIP Code

Home Church

Internet Use Agreement(Required)

Both child and parent consent to the Internet Use Agreement

Within reason, freedom of speech and access to information will be honored. However, the following list, not meant to be all-inclusive, are not permitted:
* Using the Internet for any illegal purposes.
* Sending or displaying offensive messages or pictures.
* Using obscene language.
* Harassing, insulting, or attacking others.
* Damaging computers, computer systems, or computer networks.
* Engaging in practices that threaten the network (e.g., loading files that may introduce a virus).
* Violating copyright laws.
* Using another’s password.
* Trespassing in another’s folders, work, or files.
* Intentionally wasting limited resources.
* Employing the network for commercial purposes.
* Assisting a campaign for election of any person to any office or for the promotion of or opposition to any ballot proposition.
* Other behaviors in violation of district policy or regulations. Violations will result in appropriate disciplinary actions, which may include the loss of access to networked information resources, and/or legal action. As a user of the Bethlehem Lutheran School Computer Network, I hereby agree to comply with the above stated rules communicating over the network in a reliable fashion while honoring relevant laws and restrictions. I am also aware that the Bethlehem Lutheran School maintains the right to access and monitor stored e-mail messages and computer files. Conversely, it is understood that the Bethlehem Lutheran School may not disseminate the content of any messages to others in the work force/school/district.
As the parent or legal guardian of the minor student signing above, I grant permission for my son or daughter to access networked computer services such as electronic mail and the Internet. I understand that individuals and families may be held liable for violations. I understand that some materials on the Internet may be objectionable, but I accept responsibility for guidance of Internet use – setting and conveying standards for my son or daughter to follow when selecting, sharing, or exploring information and media. I am aware that the Bethlehem Lutheran School maintains the right to access and monitor stored e-mail messages and computer files. It is further understood that the Bethlehem Lutheran School may not disseminate the content of any message to others in the work force/school/ district.

HELPING YOUR CHILD GET THE MOST OUT OF A LUTHERAN EDUCATION As Lutheran teachers, the faculty of Bethlehem is convinced all children need: A. Christian education based on God’s Word; which leads toward a Christian life of serving God in church, community, and country; and involves the whole person (spiritual, mental, physical, social, emotional). B. An education in secular areas, taught in the light of God’s Word, will and design; C. Daily Christian peer-fellowship and school activities experienced in a Christ-centered environment, directed by Christian teachers. AS PARENTS OF A BETHLEHEM STUDENT, WE PLEDGE: A. To pray for our child and all involved in his/her education; B. To provide a Christian atmosphere in our home, which is the most vital influence in our child’s life; C. To attend church and Bible Class/Sunday School regularly, in keeping with my Lord’s directive in the Third Commandment. D. To contribute financially to church, regularly and sacrificially, keeping in mind the manner in which the Lord has blessed me. E. To encourage and admonish our child(ren) to obey teachers and the school’s rules cheerfully and promptly; F. To cooperate with and uphold the teachers in the exercise of Christian discipline and in the training of our child(ren) (see “Parental Responsibility” section of Parent Handbook); and to go directly to the teacher in a Christian manner if questions or concerns arise; (see Matt. 8:15); G. To take an active role in seeing that our child’s assigned homework is completed, and to provide a place and opportunity for completing the task; H. To take into account our child’s extra curricular involvement and to encourage completion of these commitments, I. To fulfill our financial obligation to Bethlehem Lutheran School in a timely manner. By executing this document, the parent/guardian agrees to be contractually obligated for all tuition and costs in connection with their child’s enrollment. With the grace and help of God, I understand and fully accept the covenant that I am making this day and pledge to honor the commitments as stated above and the policies as printed in the handbook.

I have read and understand ALL updated policies including:(Required)

Bethlehem Dress Code

Photo Release Form for Minors

Internet User Form

Northern Wells School Bus Rules and Regulations

Parent/Guardian Signature

Please sign to complete this form. Your signature indicates that you have read and understand the terms of this application and have filled it out to the best of your knowledge.