Application for Admission
Weekly Classes
2008-09
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Bristol Academy
11940 Alpharetta Hwy, Suite 144
Alpharetta, GA 30004
(678) 624-2234
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Student's Name _____________________________________________________ Date ___________________
Birthdate ______________________2008 Grade Level ___________________ Male ______ Female _______
Parent (s) Names ____________________________________________________________________________
Street __________________________________________ City __________________ Zip Code _____________
Phone: Home ___________________Mom's Cell ____________________Dad's Cell ________________________
E-mail ________________________________ Student's E-mail (MS & HS) ________________________________
In case of emergency, contact: __________________________________________________________________
Family church preference / affiliation ______________________________________________________________
How did you find out about Bristol Academy? _______________________________________________________
Please list other information that will be helpful in working with your student such as academic background,
special interests and abilities, spiritual growth, and any particular concerns. Please include the name and the
level of the science text the student has most recently used. (Use the back, as needed.)
Please check one
* Weekly Science Classes (Aug.-May) meet at 9:30 AM and 1:00 PM (or 1:15 PM) for 2 hr. sessions
Mondays 9:30 ___ Phys. Sc. OR ___ Biology (9th-10th gr.)
Mondays 1:00 ___ Chemistry OR ___ Physics (11th - 12th gr.) (Physics usually begins at 12:30)
Please indicate interest in High School Health Course ____ Yes, I'm interested
Tuesdays 9:30 ____ Science 3 (3rd gr.) OR ___ Science 4 (4th grade)
(Tuesdays 11:50 - 12:50: Please indicate interest in an elective: __ Art __ Spanish ___Chess
Tuesdays 1:00 ____ Science 2 (1st- 2nd gr.) OR ___ Science 5 (5th gr.)
Thursdays 9:30 ___ Space-Earth Sc. OR ___ Life Sc. (7th-8th gr.)
(Thursdays 11:50 - 12:50 : Please indicate interest in an elective: ___ Art ___ Spanish ___ Chess
Thursdays 1:00 ___ Science 6 (6th gr.)
I agree to have my student participate in Bristol Academy and I understand that the program is based on Biblical
principles. I understand that the registration fee is non-refundable, and that one month's written notice is requested for
withdrawals. I also understand that I will receive a code of conduct requiring my signature and my student's. I
understand that the textbook is not included in the fees.
Parents' Signatures & Dates _____________________________ ____________________________________
I plan to pay tuition _____ monthly ______ bi-annually _____ annually
Bristol Academy 11940 Alpharetta Hwy, Suite 144 Alpharetta, GA 30004 Phone: (678) 624-2234