Hellenic Academy - Child
See tuition payment options and prices before you start the registration form.
Family Last Name: *
Your answer
Address: *
Your answer
City: *
Your answer
State:
Your answer
Home Phone: *
Your answer
Cell Phone:
Your answer
Father's Name:
Your answer
Father's Cell Phone:
Your answer
Father's Email:
Your answer
Mother's Name:
Your answer
Mother's Cell Phone:
Your answer
Mother's Email:
Your answer
Student Registration
Register up to four children
Student #1
Student's Name *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Gender *
Please indicate: *
Register another student? *
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