Berean Students Info
Stay in the loop! Sign up to receive Berean Students Emails and Texts.
Contact Preferences:
*
Please select one option.
Send all emails and texts ONLY TO PARENT 1
Send all emails and texts to BOTH PARENTS 1 & 2
Parent 1
Parent 1 Name
*
Parent 1 Email
*
This address will receive a confirmation email
Parent 1 Cell Phone
*
Parent 1 Home Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Parent 2
Parent 2 First & Last Name
Parent 2 Email
Parent 2 Cell Phone
Parent 2 Home Address (if different)
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Student 1
Student 1 First & Last Name
*
Student 1 Birthdate
*
Student 1 Grade for 2024-2025 School Year
*
Please select one option.
5th (May join DOXA April 1st after Awana concludes)
6th
7th
8th
9th
10th
11th
12th
Student 1 Contact Preferences:
*
Please select one option.
Send all emails and texts to Student 1
DO NOT send emails or texts to Student 1
Student 1 Cell Phone
Student 1 Email
Student 2
Student 2 First & Last Name
Student 2 Birthdate
Student 2 Grade for 2024-2025 School Year
Please select one option.
5th (May join DOXA April 1st after Awana concludes)
6th
7th
8th
9th
10th
11th
12th
Student 2 Contact Preferences:
Please select one option.
Send all emails and texts to Student 2
DO NOT send emails or texts to Student 2
Student 2 Cell Phone
Student 2 Email
Student 3
Student 3 First & Last Name
Student 3 Birthdate
Student 3 Grade for 2024-2025 School Year
Please select one option.
5th (May join DOXA April 1st after Awana concludes)
6th
7th
8th
9th
10th
11th
12th
Student 3 Contact Preferences:
Please select one option.
Send all emails and texts to Student 3
DO NOT send emails or texts to Student 3
Student 3 Cell Phone
Student 3 Email
Student 4
Student 4 First & Last Name
Student 4 Birthdate
Student 4 Grade for 2024-2025 School Year
Please select one option.
5th (May join DOXA April 1st after Awana concludes)
6th
7th
8th
9th
10th
11th
12th
Student 4 Contact Preferences:
Please select one option.
Send all emails and texts to Student 4
DO NOT send emails or texts to Student 4
Student 4 Cell Phone
Student 4 Email
Submit
Description
Stay in the loop! Sign up to receive Berean Students Emails and Texts.
×
Please Fix the Following
