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Bethlehem High School Registration Forms 24-25

It is time to register your child(ren) for the 24-25 school year. Please complete a registration form for each student who will be attending Bethlehem High School in the 24-25 school year. We are expecting to be near capacity so it is very important that each student have a registration form completed. the $50 registration fee will be billed through FACTS in May. Not all questions require an answer.  Required fields are marked with an asterisk *

Your Student (You will need to complete a form for each student.)

Grade Level for 24-25*
Answer Required
State
Answer Required

Parent Permissions Section

Medical Treatment Authorization

This signature is requested in the event that your child becomes ill or is injured at school, at a school-sponsored event, or on the way to or from school, and the school is unable to get in touch with the parents or guardians.  It is understood that every effort will be made to contact the parents or guardians before any treatment is undertaken.  A digital signature below gives us consent to treat your child in case of emergency.

Medical Treatment Opt-out
Answer Required

Publications Consent

Publications Release Form

Many of our students are recognized for their accomplishments on our website, on social media, in publication materials, and in video productions.  We would appreciate you giving us permission to use your child's name and/or photograph.  A digital signature below gives us consent to publish your child on the website, social media, publications (including the newspaper and yearbook), and in video productions.

Publications Opt-out
Answer Required

ACT Score Report Consent

ACT Score Report Form

Many colleges and universities ask for ACT scores to be reported on the high school transcript. However, that information is optional and can be withheld from the transcript.  A digital signature below gives us consent to publish your child's ACT score on their Bethlehem transcript.

ACT Score Report Opt-out
Answer Required

Drug Testing Consent

Drug Testing Consent Form

The policy regarding drug testing can be found on the last two pages of the Student/Parent Handbook. 

The undersigned student and the student's parent or legal guardian hereby acknowledge that they have read and understand the policy and agree to and are bound by the terms and conditions in the policy, including participation in related surveys.

The undersigned understands that this consent is effective for all teams/sports/organizations/on-campus driving in which the students may participate for the entirety of the current school year.  The undersigned understands that once enrolled in the testing pool the student agrees to remain in the testing pool for the entire school year.

The undersigned hereby permits the healthcare professionals/lab selected by Bethlehem High School to perform drug testing of the student's urine and release the results to the principal of the school.  Permission is also granted for the principal to release drug testing results that are positive to the coaches or organizational advisors of teams in which the student is involved.  

The undersigned agrees to cooperate with the school healthcare professional in the event a prescription medication is identified through the drug testing process.  

Any refusal by student participation to be tested shall be treated as a violation and the appropriate sanctions will be assessed.  

A digital signature below gives permission for your child to participate in the drug-testing program.

Drug Testing Opt-out
Answer Required

Free/Reduced Lunch Application

Families must apply for free/reduced lunch every year. Please mail me an application for free/reduced lunch.*
Answer Required

Transportation Information

Bethlehem bus routes and times can be found on our website.

Students driving to school must purchase a $10 parking permit.  These will be available to students the first week of school.

My student will be arriving to school*
Answer Required
My student will be departing from school*
Answer Required
Signature*
Signature Required

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