Student
Registration

Students in Grades k-12 have the opportunity to attend a Christian Released Time Bible education course during the school year! Once a week your student will be transported off site with trained volunteers to a SMART location where they will learn and read a Bible lesson, play a game, pray, and sing. Each week is fun and a little different. No instructional time is lost. SMART is privately funded by community stakeholders.

Student First Name

Student Last Name

Teacher

Parent First Name

Parent Last Name

Parent Email

Parent Phone

Home Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Photo Consent - Any photos or video taken of my student may be used for publication by SMART NEO.

Yes

Medical Comments - Please explain any medical, physical, or behavior diagnoses that would help volunteers prepare for your student.

Medical Consent - In case of a medical emergency, I consent to any medical care determined by a physician to be necessary for the welfare of my student while under the care of SMART NEO and I am not reasonable available by phone to give consent.

Yes

Parent/Guardian Signature

Interested Volunteer - I would like to be contacted about being a classroom volunteer for SMART NEO this year.

Treat Supplier - I would like to provide special treats and supplies for SMART NEO this year.

Thanks for submitting!

Yes, I give permission for my student to attend SMART and be transported off-site for the 2024/2025 school year.

Student Registration

Yes, I give permission for my student to attend SMART and be transported off-site for the 2024/2025 school year.

Student
Registration