Test Enrollment Form 2018-19 We are so excited that you would like to join BTHE for this academic year. Please complete this enrollment before registering for any classes. If you have questions, please visit the "Start Here" page.Last Name*Father's NameMother's NameChildren*Child's NameAgeGrade in FallBirthdate Click the "+" to add additional children.Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneMobile Phone*Best time to call:*Email* Church & Faith StatementAll members are asked to read the BTHE Statement of Faith and agree to the statement below.Church AffiliationPastor's NameI have read & agree to the BTHE Statement of Faith* Yes, I agree Enrollment OptionsAcademic Student PriceParticipant Student PricePurchase Enrollment OptionsChoose ONE enrollment option for each student. Any child/teen who participates in a BTHE activity will be either an Academic or Participant Student.Academic Students - $30 eachPlease enter the number of students who will be participating in any BTHE class, academic testing, or other academic event. Students will be EITHER academic or participant level, not both. Participant Students - $15 eachPlease enter the number of children (over 4 years old) who will be participating in BTHE activities. This cost covers building insurance and administrative costs. Students will be EITHER academic or participant level, not both. Are you interested in participating in any of the following activities? Kindergarten Graduation High School Graduation Co-op Classes (Grades 6-12) (Priced individually) Private Music Lessons (Priced individually) SummaryAll participants are asked to read the BTHE Photography Policy and Model Release and agree to the statement below.I have read & agree to the BTHE Photography Policy* Yes, I agree Questions or CommentsTotal to Pay by August 1, 2018: $0.00 After submitting registration form, please mail a check for this amount to Burge Terrace Baptist Church, 9345 Brookville Road, Indianapolis, IN 46239. Please mail check by August 1, 2018. This iframe contains the logic required to handle Ajax powered Gravity Forms.