ST. JOHN CHRYSOSTOM MELKITE GREEK CATHOLIC CHURCH
2016-2017 Church School Registration Form
School Year: September 2016 - May 2017
Address: 1428 PONCE DE LEON AVE., NE, ATLANTA, GA 30307
Contact us at 404-373-9522
Parent Information
Please enter at least one of the parents information below
Family Name *
Last Name ONLY
Your answer
Family Address *
Your answer
Parent1 Name (First Name) *
First Name only, unless different from Family Name.
Your answer
Parent1 Phone Number *
Your answer
Parent1 Email *
Your answer
Parent2 Name
First Name only, unless different from Family Name.
Your answer
Parent2 Phone Number
Your answer
Parent2 Email
Your answer
All Child(ren) Information
Please enter all Child(ren) information below, submit an additional form to register more than 4 children.
1st Child Name *
Child's First Name (Last name only if different from family name).
Your answer
FIRST CONFESSION MADE BY CHILD? *
1st Child Date of Birth *
MM
/
DD
/
YYYY
1st Child Gender *
1st Child T-shirt size *
1st Child Allergy Information *
List all Allergies, if any. Enter "None" if no allergies.
Your answer
2nd Child Name
Child's First Name (Last name only if different from family name).
Your answer
FIRST CONFESSION MADE BY CHILD?
2nd Child Date of Birth
MM
/
DD
/
YYYY
2nd Child Gender
2nd Child T-shirt size
2nd Child Allergy Information
List all Allergies, if any. Enter "None" if no allergies.
Your answer
3rd Child Name
Child's First Name (Last name only if different from family name).
Your answer
FIRST CONFESSION MADE BY CHILD?
3rd Child Date of Birth
MM
/
DD
/
YYYY
3rd Child Gender
3rd Child T-shirt size
3rd Child Allergy Information
List all Allergies, if any. Enter "None" if no allergies.
Your answer
4th Child Name
Child's First Name (Last name only if different from family name).
Your answer
FIRST CONFESSION MADE BY CHILD?
4th Child Date of Birth
MM
/
DD
/
YYYY
4th Child Gender
4th Child T-shirt size
4th Child Allergy Information
List all Allergies, if any. Enter "None" if no allergies.
Your answer
Certification and Electronic Signature by Parent(s)
I/We promise to commit my child(ren) to attend as many classes of Church School as possible for the maximum benefit to be achieved.

The child(ren) will make up any work missed due to a reasonable missing of class(es).I/We also understand that repeated and unnecessary absences will result in loss of religious and spiritual understanding and growth by the child(ren) and may unfortunately open the possibility of repeating the year’s classes.

TOGETHER, WE WORK, HAND IN HAND FOR THE RELIGIOUS
EDUCATION, SPIRITUAL GROWTH AND BENEFIT OF OUR CHILDREN!

Signature Date *
MM
/
DD
/
YYYY
By Checking the Check Box *
Required
Enter Name of Person Completing this Form *
Your answer
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