Upper School 2021-22 Selections Student First Name* Student Middle Name Student Last Name* Student Preferred Name Gender* Male Female Student Grade* 9th Grade 10th Grade 11th Grade 12th Grade Parent Email* Parking PermitIf you intend to drive a vehicle to BA at any point during the school year, please provide the information below. If this section does not apply to you, write N/A in both fields. Vehicle Tag Number* Vehicle Make, Model, and Color* Physical EducationChoose one of the following activities for the FIRST QUARTER (Fall-1)Girls' Physical Education* Girls Off-season Agility, Strength & Conditioning: For all athletes not participating on a fall sport team, but will participate in winter and/or spring sport teams. Girls PE: For girls not participating in any sport team during the school year. Girls Academy Dancers: This fine arts program qualifies for PE credits (team already chosen in spring tryouts). Girls Football Cheer: Team was chosen in spring tryouts. Girls Volleyball: Karen Sutton/ firstname.lastname@example.org Girls Tennis: Mark Sutton/ email@example.com - This is a spring sport, but practice is allowed during fall and winter. Girls Cross Country: Caroline Cole/ firstname.lastname@example.org Girls Soccer: Laura Eldridge/ email@example.com Girls Swimming: Jim Chapman/ firstname.lastname@example.org - This is a three-quarter PE commitment. Practice begins in the fall; season runs winter through early spring. Girls Football Film Crew and Managers: Cody White/ email@example.com - A limited number of students (boys and girls) are invited to participate in this option for PE credit. N/A Boys' Physical Education* Boys Off-season Agility, Strength & Conditioning: For all athletes not participating on a fall sport team, but will participate in winter and/or spring sport teams. Boys PE: For boys not participating on any sport team during the school year. Boys Football; Film Crew and Managers: Cody White/ firstname.lastname@example.org - In addition to football players, a limited number of students (boys and girls) are invited to participate in this option as film crew and managers. Boys Tennis: Mark Sutton/ email@example.com - This is a spring sport, but practice is allowed during fall and winter. Boys Cross Country: Marshall Smith/ firstname.lastname@example.org Boys Swimming: Jim Chapman/ email@example.com - This is a three-quarter PE commitment. Practice begins in the fall; season runs winter through early spring. Boys GNASH Hockey: Participation in this recreational league qualifies as PE for participating boys in first, second and third quarters. Though not a Brentwood Academy team, the league assigns teams by high school. Brentwood Academy players have historically participated on a co-operative team with players from one or two other private schools. N/A Upper School Advisory*Upper School Advisory Choices (Please check 3 names from the list of teachers/staff members in your grade level. Girls select female advisors and boys select male advisors.) 9TH - MRS. AMY CLARKE 9TH - MRS. BONNIE HALL 9TH - MRS. JAMIE RAAB 9TH - MRS. TESSA TINER 9TH - MRS. BRITTAINY TOMICHEK 9TH - MRS. BARBARA STEWART 9TH - MR. TOM COX 9TH - MR. MATT GOLENOR 9TH - MR. AUSTIN GROVES 9TH - MR. LYLE HUSBAND 9TH - MR. RANDY O'BRYAN 9TH - MR. STEVE WIDMAIER 10TH - MRS. WENDY CHAPMAN 10TH - MRS. SHARI CHRISTENSON 10TH - MS. LAURA ELDRIDGE 10TH - MRS. LINDSAY WADE 10TH - MRS. SHANNON FROST 10TH - MRS. CAMERON PHILLIPS 10TH - MR. JIM CHAPMAN 10TH - MR. JOSE CHAVIRA 10TH - MR. CHANDLER GANICK 10TH - MR. DAVID NORRIS 10TH - MR. TROY PUTNEY 10TH - MR. JAMES WILHOIT 11TH - MRS. KERRY BAUCHIERO 11TH - MRS. DIXIE CHRISTIAN 11TH - MRS. HEIDI COMPTON 11TH - MRS. JANET LAWS 11TH - MRS. CATHERINE LAWHORN 11TH - MRS. LORI WHITE 11TH - MR. JOHN AYALA 11TH - Col. KENT BRADFORD 11TH - MR. LEY BROWN 11TH - MR. JEFF BRYANT 11TH - MR. CHARLES MAMOLO 11TH - MR. MIKE VAZQUEZ 12TH - MRS. DANA ATKINS 12TH - MS. SHELLEY MILLER 12TH - MS. RENE ROCHESTER 12TH - MRS. COURTNEY WILLIAMS 12TH - MRS. HOLLY SHEPHERD URBANOWICZ 12TH - MR. MATT BROWN 12TH - MR. JIMMY KER 12TH - MR. JASON MATHEWS 12TH - MR. CHUCK REID 12TH - MR. FREDDIE SCOTT 12TH - MR. SCOTT WELLS Key Academic Acknowledgements*Please check each box to confirm you have read and understand the following Key Academic Acknowledgements. I acknowledge that as a part of the college going mission and ministry at Brentwood Academy, I will be expected to actively engage in the college counseling process and will apply and gain admission at a four-year college or university in the senior year. I acknowledge that all freshmen, sophomores, and juniors are required to take the PSAT/National Merit Scholarship Qualifying Test at school on Wednesday, October 13, 2021. I acknowledge that if I enroll in an Advanced Placement class that I will be required to take the culminating AP exam in May. I acknowledge that in the junior and senior years, I must fulfill the SAT and ACT testing requirements in accordance with the policy outlined in the BA Student and Parent Handbook. Submission InfoThank you for submitting the requested information. You do not need to bring this confirmation with you on registration day. For questions regarding Parking Permits, please contact Dan Wilkerson at firstname.lastname@example.org. For questions regarding PE, please contact Allie Mudd at email@example.com. For questions regarding advisory, please contact Alyssa Hall at firstname.lastname@example.org. For questions regarding Key Academic Requirements, please contact Jeff Bryant at email@example.com. You will receive an email confirmation of this registration.