Greek School Registration 2026-2027

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Email *

Student's Name (Last, First) *

Birthdate (i.e. 10/1/2016) *

Parent #1 Name (Last, First) *

Parent #1 Phone Number *

Parent #1 email address *

Parent #2 Name (Last, First)

Parent #2 Phone Number

Parent #2 email address

Home address: *

Emergency Contact Name *

Emergency Contact Number *

Doctor's Name *

Doctor's Phone Number *

Please list all MEDICAL CONDITIONS & MEDICATIONS your child’s teacher should be made aware of: (e.g., diabetes, epilepsy, allergies, etc.) *

Are you a current steward of St. Anna Church? *

Yes

Which program is your child enrolling in? *

Pre-school Class with Kyria LIsa (45 minute class on Mondays) Child must be at least five years old.

Beginner Class with Kyrio Petro (90 minute class meets on Mondays 5:00pm - 6:30pm)

Intermediate A Class with Kyria Lisa (120 minute class on Mondays 5:00pm - 7:00pm)

Intermediate Class B with Kyria Maria (120 minute class Mondays 5:00pm - 7:00pm)

Advanced Class with Kyria Kelly (120 minutes in total, Mondays 6:00pm - 7:00pm in person and Wednesdays 6:00pm- 7:00pm virtual)

Other:

Preschool Class: $200 tuition per student.

Pre-school $200 paid in full by check.

Other:

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Beginner Class: $450(stewards)/$650 (non-stewards)

Intermediate Class: $450(stewards)/$650 (non-stewards)

Advanced Class: $450(stewards)/$650 (non-stewards)

Tuition Payment Information: please include amount you have paid, and the form of payment

(i.e. Paid $450 for Thedosis ,Check #1234)

WAIVER OF RESPONSIBILITY--- I AUTHORIZE THE STAFF OF THE SAINT

ANNA GREEK SCHOOL TO CALL AN AMBULANCE FOR MY CHILD IN CASE OF AN ACCIDENT OR ACUTE ILLNESS, AND TO ALLOW FOR POSSIBLE EMERGENCY MEDICAL AND SURGICAL CARE, IN CASE HIS/HER DOCTOR OR I ARE NOT IMMEDIATELY AVAILABLE.

To acknowledge, kindly type your full legal name and today's date. *

I certify that the information above is correct and I agree to the policies stated in this form.

To acknowledge, kindly type your full legal name and today's date.

Send me a copy of my responses.

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