Registration for BUAC Electives Fall 2021 Question Title * 1. Student Last Name OK Question Title * 2. Student First Name OK Question Title * 3. Parent Last Name OK Question Title * 4. Parent First Name OK Question Title * 5. Student Email OK Question Title * 6. Parent Email OK Question Title * 7. Home Address, City, State, Zip Code OK Question Title * 8. Student Phone number OK Question Title * 9. Parent phone number OK Question Title * 10. Student birthdate OK Question Title * 11. What grade are you in? Freshman Sophomore Junior Senior OK Question Title * 12. Emergency contact and phone OK Question Title * 13. How many years has this student been homeschooled? OK Question Title * 14. Have you or a sibling ever been part of BUAC Electives before? Yes No OK Question Title * 15. Have you or a sibling ever been part of another BU program? Yes No OK Question Title * 16. Have you ever been dismissed from a public school, private school, or home school co-op or program? Yes No OK Question Title * 17. If yes to question 16, please explain. Answer N/A if no. OK Question Title * 18. Medical Insurance Company OK Question Title * 19. Insurance company ID# OK Question Title * 20. Insurance company group # OK Question Title * 21. Insurance company plan # OK Question Title * 22. Insurance member name OK Question Title * 23. Insurance member employer OK Question Title * 24. Student's doctor and phone number OK Question Title * 25. List any medical conditions of the student OK Question Title * 26. List any drug or food allergies OK Question Title * 27. BUAC Electives and Bluegrass United Contracts of UnderstandingBUAC Electives students and parents are required to read, sign, and abide by the following contracts. Please read each contract and digitally sign the signature boxes. BUAC Electives is designed for the mature, independent high school student who works cooperatively in group settings. It employs a university model of instruction and administration that holds students directly and solely accountable for their behavior and academic performance and swiftly addresses students who are not ready or committed to this academic model. This model and its specific requirements and expectations are explained in detail on the BUAC Electives web site at www.buacelectives.com. Students are charged with full responsibility for reading and implementing the student requirements outlined in this section of the web site. Student - I understand and agree Parent - I understand and agree OK Question Title * 28. Bluegrass United offers leadership driven, private programs for high school homeschool students. Participating families enter into a voluntary association with Bluegrass United when they register for Bluegrass United programs. This relationship remains until such time that either party decides the relationship is no longer beneficial to the student or Bluegrass United.By checking the boxes below, both students and parents are stating they1) Have read and will abide by the rules, expectations, and guidelines of Bluegrass United (as outlined at www.bluegrassunited.com and www.buacelectives.com) and the programs in which they participate.2) Are willing to place themselves under the authority of Bluegrass United while they are participating in Bluegrass United programs.3) Will hold harmless and remove from any and all liability the leadership of Bluegrass United and all its program leaders, instructors, facilities, coaches, volunteers, and all others involved in any way with Bluegrass United programs or events.This will serve as a digital signature. Student - I understand and agree Parent - I understand and agree OK Question Title * 29. The online class selection process must be fully and accurately completed. By checking the boxes below, both students and parents are stating they:1) Understand students can sign up for one, two, or three classes at BUAC Electives but cannot be on campus during hours in which they do not select a class. 2) Understand students are required to select three class choices each hour (or “no class this hour”) for each hour they attend, in order for class selections to be properly processed. (This enables students to be correctly assigned and reassigned should changes need to be made in the master schedule.)3) Understand students cannot attend Fellowship Hour from 12-1 pm if they are not enrolled in a 1 p.m. class. 4) Please see buacelectives.com to view descriptions of classes and teacher biographies.This will serve as a digital signature. Student - I understand and agree Parent - I understand and agree OK Question Title * 30. Choose a first choice class for 1 pm: Freshman Foundations- must choose this class if you are a freshman Art Appreciation Hospitality & Event Planning Global Current Events College and Career Readiness BUPAC No class this hour OK Question Title * 31. Choose a second choice class for 1 pm: Freshman Foundations Art Appreciation Hospitality & Event Planning Global Current Events College and Career Readiness BUPAC No class this hour OK Question Title * 32. Choose a third choice class for 1 pm: Freshman Foundations Art Appreciation Hospitality & Event Planning Global Current Events College and Career Readiness BUPAC No class this hour OK Question Title * 33. Choose a first choice class for 2 pm Communications and Teams I Spy: Espionage and Betrayal We Didn't Start the Fire: A Survey of History, Sports and Pop Culture from 1949-1989 Writing with Purpose Step by Step Dulcimer BUPAC Cast and Crew No class this hour OK Question Title * 34. Choose a second choice class for 2 pm Communications and Teams I Spy: Espionage and Betrayal We Didn't Start the Fire: A Survey of History, Sports and Pop Culture from 1949-1989 Writing with Purpose Step by Step Dulcimer BUPAC Cast and Crew No class this hour OK Question Title * 35. Choose a third choice class for 2 pm Communications and Teams I Spy: Espionage and Betrayal We Didn't Start the Fire: A Survey of History, Sports and Pop Culture from 1949-1989 Writing with Purpose Step by Step Dulcimer BUPAC Cast and Crew No class this hour OK Question Title * 36. Choose a first choice class for 3pm Health New Testament Letters Physical Education Brain Games and Logic Videography Art for Cultural Change: The Mexican Muralists and You No class this hour OK Question Title * 37. Choose a second choice class for 3 pm Health New Testament Letters Physical Education Brain games and Logic Videography Art for Cultural Change: The Mexican Muralists and You No class this hour OK Question Title * 38. Choose a third choice class for 3 pm Health New Testament Letters Physical Education Brain Games and Logic Videography Art for Cultural Change: The Mexican Muralists and You No class this hour OK Question Title * 39. For parents: BUAC Electives is coordinated and run by moms and dads like you. We are always needing volunteers to help things run smoothly. Please check any boxes in which you are available to be called upon to volunteer. Checking boxes does not mean you are volunteering instantly. ;-) We will put you on a list to call upon when we have a need. Thank you! We appreciate all you do to invest in your students! Please select all that apply: I can help once this semester during BUAC Electives hours as a hall monitor. I can help chaperone at a social event. I can contribute supplies when needed, such as water bottles for socials. I can substitute for a teacher in a classroom. I may be interested in teaching a class in the future. We are always looking for teachers who would like to share a unique interest, skill or perspective. OK DONE