Ministries - Youth Ministries - Greek School - Registration

Tessy Tzoutsourakos - Greek School Director
Send To: Tessy Tzoutsourakos - Greek School Director



* Required information
Family Last Name: *
Address: *
City: *
State: *       Zip Code: *
Home Phone: *
Work Phone:
Email: * Confirmation goes to this email.
 
Father's Name:
Father's Cell Phone:
Father's Email:
 
Mother's Name:
Mother's Cell Phone:
Mother's Email:

Student's Name 1: *
Birth Date: *
Age: *
Grade: *
Sex: * Male Female
Years of Greek School: *
Please indicate: *
New student Returning Greek School student
 
Student's Name 2:
Birth Date:
Age:
Grade:
Sex: Male Female
Years of Greek School:
Please indicate:
New student Returning Greek School student
 
Student's Name 3:
Birth Date:
Age:
Grade:
Sex: Male Female
Years of Greek School:
Please indicate: *
New student Returning Greek School student
 
Student's Name 4:
Birth Date:
Age:
Grade:
Sex: Male Female
Years of Greek School:
Please indicate: *
New student Returning Greek School student

Are you a current steward of a Greek Orthodox Church? *   Yes   No
What Parish are you a steward of? *


     Other Home Parish: (include parish name, city, and state)
     
Please indicate person(s) other than parents authorized to pick up your child(ren):
Please include name, phone, and relationship with child(ren) in the comments section below.
Comments:

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