Greek School Application

Grade Level:

Kindergarten Beginner Intermediate

Primary Contact Information

Primary Contact Name:

Work Address/Company:

Email (This address will receive the confirmation email that the form has been submitted):

This address will receive a confirmation email

Home/Work Phone (If applicable):

Church Membership:

Other Parish Membership (If applicable)

Secondary Contact Information:

Secondary Contact Name:

Work Address/Company:

Home/Work Phone (If applicable):

Church Membership:

St. George Member Other Parish (Specify below) Non-Member

Other Parish Membership (If applicable):

Medical & Emergency Information

Emergency Contact Name (If not primary/secondary contacts):

Emergency Contact Relationship to Child:

Emergency Contact Phone:

Primary Physician Name/Phone Number:

Health Insurance Carrier/Policy #:

Does your child have any food allergies?

Yes No

If Yes, specify details/action plan:

Any other allergies (e.g., latex, environmental?)

Any medical conditions we should be aware of?

Does your child take any regular medications? (State medication name/frequency)

Tuition & Fee Agreement

Church Member Rates (Full Year)

Non-Member Rates (Full Year)

Note: Tuition rates are structured per family. Tuition is due in full at registration unless other formal arrangements have been reviewed and finalized directly with the church office. Tuition includes books and materials.

Permissions, Releases & Agreements

GENERAL PARTICIPATION PERMISSION: I hereby give permission for my child to participate fully in all regular school activities, specialized cultural workshops, and on-site events organized by the St. George Greek Orthodox School for the active calendar year.

PHOTO/VIDEO RELEASE: I give permission for media captures (photos/videos) of my child taken during class, performances, or ministry events to be securely utilized for promotional school/church publications, regional brochures, and official secure digital announcements.

MEDICAL EMERGENCY CONSENT: In the event of a medical emergency where parents or designated alternate contacts cannot be immediately reached, I hereby grant permission to the administrative staff and educators to secure professional emergency medical treatment and transport,

TUITION NON-REFUNDABLE AGREEMENT: I understand and accept that all tuition allocations and specialized processing application fees are non-refundable upon submission, unless class setup changes occur directly on behalf of the ministry leadership.

STUDENT CODE OF CONDUCT AGREEMENT: By signing below, I affirm that both I and my child have reviewed, understood, and agree to systematically adhere to the core values, behavior policies, and respectful parameters established within the school's Code of Conduct.

I hereby certify that all information provided in this registration form is complete, accurate, and up to date. I have fully read, understood, and explicitly agree to all terms, permissions, and conditions outlined across Sections 4 and 5.

Type full name to sign electronically:

Relationship to Student:

Our school is an integral part of the St. George Church community. We protect and nurture its environment with mutual respect.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Greek School Application

Description

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