E3 Academy

E3 Registration and Permissions Form

Please fill out the Registration and Permissions Form below. Ensure all student information and institutional policies are fully reviewed before submitting

Registration and Permissions Form

Student Profile & Medical Info
Parental Permissions & Agreements

Parents/Guardians: Please enter your full name for each statement below to authorize agreement:

I, as parent or legal guardian, do hereby register the above-named child to participate in E3 Christian Academy.

I, as parent or legal guardian, understand that the school reserves the right to insist on the immediate withdrawal of any student whose presence in the school is considered detrimental either to the students' or to the school's best interest.

I, as parent or legal guardian, understand that any participation in sports activities or with playground equipment can involve the normal amount of physical danger, and that the school and church cannot and does not assume responsibility for injuries which may result therefrom. I will not hold them liable nor will I bring a suit against them. I give my permission to render first aid treatment that is reasonably necessary.

I, as parent or legal guardian, hereby request that my child, named above, be allowed to ride in a vehicle to and from any events or any field trips that the E3 Student Ministry may be involved in. I represent to E3 Christian Academy and Bible Baptist Church that such method of transportation is safe and reasonable and waive any requirements that the driver be bonded. I waive, release and discharge E3 Christian Academy and Bible Baptist Church, its employees, volunteers and any driver or vehicle owner from any claim, demand or cause of action arising out of the transportation of my child.

I, as parent or legal guardian, understand that E3 Christian Academy does from time-to-time record images and audio of students and their families. I understand that these may include video recordings, photographs and audio recordings. I hereby give permission for E3 Christian Academy to use the above-mentioned images and recordings of my child and my family to be stored digitally and used on our social media platforms.

Verification & Execution
Parents' Contact Information

Mother's Details

Father's Details

Real World Learning In
A Christ Centered Environment