Ministries - Youth Ministries - Greek School - Child Registration

 
Send To: Niki Dourbetas


* Required information
Last Name: *
Number of Students Enrolled *
Address: *
City: *
State: *       Zip Code: *
Home Phone: *
Email: *
Confirmation goes to this email.
 
Mother's Name: *
Mother's Cell Phone: *
 
Father's Name: *
Father's Cell Phone: *
Member of St. John Greek Orthodox Church: *   Yes   No

Student's Name 1: *
(Name in English and Greek)
Birth Date: *
Age: *
Grade in traditional school: *
Grade in Greek school last year (if attended last year):
What grade do you want to enroll in? *
 
Student's Name 2:
(Name in English and Greek)
Birth Date:
Age:
Grade in traditional school:
Grade in Greek school last year (if attended last year):
What grade do you want to enroll in?
 
Student's Name 3:
(Name in English and Greek)
Birth Date:
Age:
Grade in traditional school:
Grade in Greek school last year (if attended last year):
What grade do you want to enroll in?
 
Student's Name 4:
(Name in English and Greek)
Birth Date:
Age:
Grade in traditional school:
Grade in Greek school last year (if attended last year):
What grade do you want to enroll in?
    

Please complete the registration by paying online after registering.

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