Registration Form
Our School Year Consists of 2 Terms, Oct-Jan, Feb-May.
Tuition per term is $225/student ($250 for non-parishioners).
Textbooks and materials are $25.
Tuition to be paid no later than November 20th, 2018
All tuition is NON refundable
Discounts are available for siblings* / Aid is available to those in need.

info@greekschoolpdx.com / tel: 503.997.5459
HOLY TRINITY GREEK ORTHODOX CATHEDRAL
3131 NE Glisan Str., Portland, Oregon 97232

Student Name *
Your answer
Parent(s) Name *
Your answer
Best Number to Reach the Parents *
Your answer
Home Address *
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Date of Birth *
Your answer
School Grade *
Your answer
Age *
Your answer
How many years of Greek Language *
Your answer
Do you wish to earn a certicicate in the Greek Language? *
minimum required age for children is 8 years old
Required
Does any of the parents... *
PARENT INFORMATION
Parent 1 Name *
Your answer
Cell Phone Number *
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Email *
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Parent 2 Name
Your answer
Cell Phone Number
Your answer
Email
Your answer
EMERGENCY CONTACT PERSON *
Other than the parents
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MEDICAL INFORMATION
Medican Conditions / Allergies / Medications *
Your answer
Preferred Hospital *
Your answer
Health Insurance *
Your answer
Parental Consent *
In the event of an emergency, I give church and Greek school staff permission to administer First Aid and to have my child transported to the nearest medical care facility. I authorize staff to consent to any x-ray examination, anesthetic, medical, surgical, or dental diagnosis or treatment, and hospital care to be rendered to my child. I shall be liable and agree to pay all costs and expenses incurred in connection with such medical and dental services rendered to my child pursuant to this authorization. Should it be necessary for my child to return home due to medical reasons or otherwise, I shall assume all transportation costs.
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