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Grace Academy
Christian Education in Matthews NC
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Grace Academy Handbook
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Athletic Forms
Athletic Checklist
Concussion Form
Team Commitment Agreement
Sports Physical
Parent Release Form
Athletic Handbook
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K-5 Class Schedule
6-12 Grade Class Schedule
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Giving
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Contact
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Home
Who We Are
About Us
Mission Statement/Values
Spiritual Objectives
Visit Our Campus
Our Staff
Grace Vision
Universities Attended
Current News
F.E.R.M.
Admissions
New Families Registration
Student Application
Pay Application Fee
Current Families Registration
Registration Form
Complete Student Registration
Make Deposit/Pay in Full
Authorization Draft Agreement
Financial Agreement
Admission Information
Tuition Information
Financial Assistance
Online Registration
Online Registration Form (Non-Grace Student)
Summer 2023 Online Registration Form
Home Education
Home Education
Visit Us
Information Meeting
Virtual Tour
Academics
Class Requirements
K – 5th Requirements
6th – 8th Requirements
Graduation Requirements
On Campus Course Descriptions
K – 1st Grade
2nd – 3rd Grade
4th – 5th Grade
6th – 8th Grade
9th – 12th Grade
Class Schedules
K-5 Class Schedule
6-12 Grade Class Schedule
Online Course Descriptions
Online Course Descriptions
Athletics
About Grace Athletics
Grace Athletics Vision
Sports Offered
Team Schedules
Athletic Calendar
Directions
Away Locations
Home Locations
Athletic Forms
Athletic Checklist
Concussion Form
Team Commitment Agreement
Sports Physical
Parent Release Form
Athletic Handbook
Contact Athletics
Pay Athletic Fee
Student Resources
Grace Academy Handbook
Grace Academy Handbook
Student Forms
Student Leadership Application
Community Service Time Sheet
Non-Grace Credit Form
College Preparation Form
Reading Log Form
Athletic Forms
Athletic Checklist
Concussion Form
Team Commitment Agreement
Sports Physical
Parent Release Form
Athletic Handbook
Class Schedules
K-5 Class Schedule
6-12 Grade Class Schedule
Giving
Giving
Contact
Contact
Prayer Request
Employment
Make a Payment
Family Portal Login
Date
MM slash DD slash YYYY
I. TRANSPORTATION PERMISSION
*
Drive his/her own car to/from athletic practices/games.
Ride with student drivers to/from athletic practices/games.
Ride with other parent to/from athletic practices/games.
Ride with coach/staff to/from athletic practices/games.
Applicant has permission to (check as many as apply to your student):
If your child needs medical, dental, health, or hospital services, you as parent must give permission. It's the law. This is a legal document. With it, you may appoint relatives, friends, teachers, coaches, anyone over 18 years of age, to be responsible for your child when you are away from them.
A parent must read and sign the Parent Concussion Statement at the beginning of each sport’s season, as advised by the Centers for Disease Control. GRACE ACADEMY POLICY: ALL ATHLETES MUST BE COVERED BY PERSONAL MEDICAL INSURANCE TO PARTICIPATE IN THE ATHLETIC PROGRAM AT GRACE ACADEMY.
Name of Minor
First
Last
Birth Date
MM slash DD slash YYYY
Identify allergies or special conditions
GRACE ACADEMY POLICY: We, being the parent(s) or legal guardian(s) of the above named minor, do hereby appoint: (yourself, friend, or family):
Name
First
Last
Phone 1
Phone 2
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
AND: Grace Academy Staff and Coaching Staff PO Box 2553, Matthews, NC 28106 (704) 234-0292
AUTHORIZATION
TO ACT IN MY/OUR BEHALF IN AUTHORIZING UNEXPECTED MEDICAL, DENTAL, SURGICAL CARE AND HOSPITALIZATION FOR THE ABOVE NAMED MINOR DURING THE PERIOD OF MY/OUR ABSENCE FROM: AUGUST 1, 2023 THROUGH MAY 30, 2024. The parent or legal guardian set forth in this form does hereby agree to hold harmless the person appointed and a physician providing treatment from and against any and all loss, cost, damage, or expense of any kind arising out of or in connection with that person's or physician's acting in reliance upon the authorization set forth herein, with the exception of actions which amount to gross negligence. The physician shall not be relieved on the basis of this authorization for liability for negligence in the diagnosis and treatment of a minor. THIS DOCUMENT SHALL BE PRESENTED TO A PHYSICIAN, DENTAL, OR APPROPRIATE HOSPITAL REPRESENTATIVE AT SUCH TIME AS UNEXPECTED MEDICAL, DENTAL, SURGICAL CARE OR HOSPITALIZATION MAY BE REQUIRED.
Parent/Guardian Signature
Parent/Guardian Signature
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Date
MM slash DD slash YYYY
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Date
MM slash DD slash YYYY
Witness Signature (other than minor)
Witness Signature (other than minor)
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Date
MM slash DD slash YYYY
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Date
MM slash DD slash YYYY
INSURANCE
HOSPITALIZATION COVERAGE FOR ABOVE NAMED MINOR: (All athletes MUST have medical insurance to participate in the athletic program at Grace Academy)
Insurance Co.
I.D. pr Group No.
Name of Insured
SSN or Insured
Date
Athlete SSN
Family Physician
Physician's Phone #
Physician's Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
UPLOAD FRONT AND BACK OF INSURANCE CARD
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