BCC Learning Center Enrollment Application

BCC Learning Center app

The Britton Christian Church Learning Center (BCCLC) was designed with the intention of partnering with parents to meet their child’s educational needs. It is a faith-based after school tutoring ministry for:

Elementary (1st - 5th grade) 3pm - 5pm

Middle and High School (6th - 12th) 6pm - 8pm.

The focus of this ministry is to empower kids and communities through education, for an eternal reward. In this way students can be more productive in their communities and give a witness to what God is doing in their lives.

To enroll your child in the BCC Learning Center please complete the enrollment application and someone will contact you. Also, feel free to leave a message at tre@brittonchurch.com or (405) 521-7814.

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* 1. Parent/Guardian Contact Information

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Child 1

Full Name

Grade

Age

BDAY (mm/dd/year)

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* 3. Child 2

Full Name

Grade

Age

BDAY (mm/dd/year)

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* 4. Child 3

Full Name

Grade

Age

BDAY (mm/dd/year)

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* 5. Child 4

Full Name

Grade

Age

BDAY (mm/dd/year)

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* 6. Does your child or children suffer from any LIFE THREATENING allergies? (food related, bee stings, etc)

YES

If you answered YES please explain.

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* 7. Has your child been tested for OR diagnosed with any behavioral or learning challenges? (ADD, ADHD, etc).

YES

If you answered YES please explain.

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* 8. Who is your Emergency Contact?

Name

Phone Number

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* 9. I give my consent for the BCCLC to video or take photos of my child for by this ministry (CHECK one).

Yes

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* 10. My child/children is allowed to walk home.

Yes