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Alexander City Middle School
Parent/Guardian Student Permission Form

I, the undersigned Parent/Guardian, give permission for my student enrolled at Alexander City Middle School (ACMS) to attend Released Time Bible Education sponsored by School Ministries Alabama ("School Ministries"), with classes held every weekday from 2:00-3:00 pm at Alexander City Methodist Church (ACMC), 359 State St, Alexander City, AL 35010. I understand that School Ministries will provide transportation from ACMS back to ACMS.


Classes will meet every second Thursday according to the following schedule:


I understand there may be occasions when photos or video may be taken during this RTBE Bible class; I consent for School Ministries and its agents to use and publish, without charge, photos, videos, print material, or other media that may include images and words of or about my child.

I understand and agree that:

1. This class is not designed to conflict with required core classes, and that my student is responsible for school class assignments that may be missed during RTBE Bible classes.

2. This RTBE Bible class will be placed in my child's school class schedule. This means:

a. I may withdraw my permissions for my ACMS student to attend future RTBE Bible classes with at least 48-hour written notice to School Ministries and ACMS and 

b. If no such prior notice has been given to withdraw my student from all future RTBE Bible classes, and I wish my student to avoid attending a scheduled class, I must sign my child out of ACMS before 1:25 pm on that day of the class.

3. School Ministries may withdraw my student from the class, with at least 48-hour written notice to the student's parent/guardian and ACMS, if circumstances (e.g., unresolved behavioral issues) require.


I understand that any supporting educational accommodations or interventions provided to my student by Alexander City Middle School or Alexander City School District are not available or otherwise provided to my student during their attendance at this specific RTBE class, including students required to be supported by a school nurse or paraeducator during the school day. Food allergies do not require a School nurse to accompany your child; however, that information is requested below so we are aware and prepared if necessary

Please complete the following:

First and last name entry will count as the Student's electronic signature.

First and last name entry will count as your electronic signature.

Parent/Guardian Street Address*

After review and acceptance by SMA, a PDF copy of your completed form will be sent to the email address provided.

Thank you for your patience.

By submitting this form with my electronic signature I confirm my acceptance of its terms and conditions.

Thank you for submitting your student's permission form. If you have any questions or concerns, please email

Our enrollment for Alexander City Middle School has been filled. If you are interested in a future class please contact or call kylie at (205) 447-9355.

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