REGISTRATION FORM FOR ST. THOMAS HELLENIC SCHOOL - 2020-21 - Formstack

Registration for Saint Thomas Hellenic School 2020-2021

Student Information

Please complete the following in its entirety for each student separately. You can always save and resume form submission at a later time. Please, use the link at the bottom if this is the case.

Student's First & Last Name in English*

First Name

Last Name

Baptismal Name and Last Name in Greek (if applies)

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Primary Cell Phone Number*

Home Phone Number

Family E-mail Address*

Confirm Family E-mail Address *

Date of Birth*

American School Level (2020-2021)*

School District

Hellenic School Level (2020-2021)*

Please do not change this automated choice unless you are sure that your child should be placed in a different level

Hellenic School Level (2020-2021)*

Please do not change this automated choice unless you are sure that your child should be placed in a different level

Hellenic School Level (2020-2021)*

Please do not change this automated choice unless you are sure that your child should be placed in a different level

Hellenic School Level (2020-2021)*

Please do not change this automated choice unless you are sure that your child should be placed in a different level

Hellenic School Level (2020-2021)*

Please do not change this automated choice unless you are sure that your child should be placed in a different level

Hellenic School Level (2020-2021)*

Please do not change this automated choice unless you are sure that your child should be placed in a different level

Hellenic School Level (2020-2021)*

Please do not change this automated choice unless you are sure that your child should be placed in a different level

Hellenic School Level (2020-2021)*

Please do not change this automated choice unless you are sure that your child should be placed in a different level

Permission to use your child’s photographs in the Saint Thomas Hellenic School newsletter, website, brochures or special displays*

I do give permission I do not give permission

Indicate if your child has allergies or intolerance to food*

NO YES

Indicate if your child has medical history*

NO YES

Please contact the Principal, Mrs Delimaris, in person. This form is not HIPAA compliant.

Indicate if your child has an IEP

NO YES

Please contact the Principal, Mrs Delimaris, in person. This form is not HIPAA compliant.

Parents/Guardians Information

Mother's First/Last Name

First Name

Last Name

Mother's Cell Phone Number

Mother's Email Address

Father's First/Last Name

First Name

Last Name

Father's Cell Phone Number

Father's Email Address

Emergency Contact First/Last Name*

First Name

Last Name

Relationship of the Emergency contact to Child*

Emergency Contact Cell Phone Number*

Emergency Contact Home Phone Number

Emergency Contact Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Who is speaking Greek at home?*

Mother Father Yiayia Pappou Other

Emergency Treatment

In case of emergency I hereby give permission than my child may be taken to the nearest hospital for treatment

Signature*

Use your mouse or finger to draw your signature above

If there is any change in any of the above information, please notify the Hellenic School Office immediately.

Payment

"Parents/guardians MUST BE members in good standing with their Stewardship pledge. Good standing means the Fair Share 2019 contribution is paid in full and Fair Share 2020 pledge must be received and fulfilled by a minimum of 2/3 the week before the beginning of Hellenic School". Please, click on this link to read the Registration Letter and know all the details.

Have you fulfilled the Saint Thomas 2019 & 2020 Stewardship commitment?*

Please, visit anytime this link https://goc-stthomas.com/donations/ to fulfill your Stewardship Commitment. A payment reminder, if needed, will be sent to you before the beginning of the Hellenic School.

Please, visit anytime this link https://goc-stthomas.com/donations/ to complete your Stewardship Commitment. A payment reminder, if needed, will be sent to you before the beginning of the Hellenic School.

FINALIZE FORM SUBMISSION AND PAY THE REGISTRATION FEE HERE

Please Choose*

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