2018-2019 Annunciation Church Youth Ministries Registration Form
Children MUST be registered in order to attend Youth Ministries activities.

Youth Ministry participation, except for Greek School, is FREE thanks to your stewardship contributions and the PTO.

Help us meet our commitment to quality Youth Ministries and keep programming free by becoming an active steward at: http://www.anngoc.org/stewardship/2018-stewardship.
Father/Guardian Full Name *
Your answer
Father/Guardian Email Address *
Your answer
Father/Guardian Mobile Phone *
Your answer
Would you be interested in volunteering with Youth Ministries? (if yes, we will contact you).
Mother/Guardian Full Name *
Your answer
Mother/Guardian Email Address *
Your answer
Mother/Guardian Mobile Phone *
Your answer
Would you be interested in volunteering with Youth Ministries? (if yes, we will contact you).
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Emergency contact, relationship, and mobile phone# if parents are not available *
Your answer
Physician Name *
Your answer
Physician Telephone *
Your answer
Child #1 Full Legal Name *
Your answer
Child #1 Date of Birth *
MM
/
DD
/
YYYY
Child #1 Medical Info *
Please list any allergies (food, seasonal, insect bites, medication), medical conditions, or medications
Your answer
Child #1 Individualized Education Program (IEP)/504 Plan *
Does your child have an IEP or 504 Plan?
Child #1 School Grade for the 2018-2019 School Year *
Child #1 Registering for: *
Required
Child #1 Greek School Registration - Class size limited to 10 students per class - (skip if not registering for Greek School)
Note regarding Greek School tuition: Stewardship is based on a calendar year Jan.1-Dec. 31. Contributions count only for the calendar year in which they are given. If your stewardship pledge for the 2018 calendar year has not been submitted by Sept. 16 we will be forced to charge the Non-Steward tuition rate. Payment may be made through Parish Giving or to any Greek School Board Member. Full payment is due by Nov. 16 if 1 child is enrolled, December 14 if 2 children are enrolled, and February 15 if 3 or more children are enrolled.
Child #2 Full Legal Name
Your answer
Child #2 Date of Birth
MM
/
DD
/
YYYY
Child #2 Medical Info
Please list any allergies (food, seasonal, insect bites, medication), medical conditions, or medications
Your answer
Child #2 Individualized Education Program (IEP)/504 Plan
Does your child have an IEP or 504 Plan?
Child #2 School Grade for the 2018-2019 School Year
Child #2 Registering for:
Child #2 Greek School Registration - Class size limited to 10 students per class - (skip if not registering for Greek School)
Note regarding Greek School tuition: Stewardship is based on a calendar year Jan.1-Dec. 31. Contributions count only for the calendar year in which they are given. If your stewardship pledge for the 2018 calendar year has not been submitted by Sept. 16 we will be forced to charge the Non-Steward tuition rate. Payment may be made through Parish Giving or to any Greek School Board Member. Full payment is due by Nov. 16 if 1 child is enrolled, December 14 if 2 children are enrolled, and February 15 if 3 or more children are enrolled.
Child #3 Full Legal Name
Your answer
Child #3 Date of Birth
MM
/
DD
/
YYYY
Child #3 Medical Info
Please list any allergies (food, seasonal, insect bites, medication), medical conditions, or medications
Your answer
Child #3 Individualized Education Program (IEP)/504 Plan
Does your child have an IEP or 504 Plan?
Child #3 School Grade for the 2018-2019 School Year
Child #3 Registering for:
Child #3 Greek School Registration - Class size limited to 10 students per class - (skip if not registering for Greek School)
Note regarding Greek School tuition: Stewardship is based on a calendar year Jan.1-Dec. 31. Contributions count only for the calendar year in which they are given. If your stewardship pledge for the 2018 calendar year has not been submitted by Sept. 16 we will be forced to charge the Non-Steward tuition rate. Payment may be made through Parish Giving or to any Greek School Board Member. Full payment is due by Nov. 16 if 1 child is enrolled, December 14 if 2 children are enrolled, and February 15 if 3 or more children are enrolled.
Photo Release *
Waiver of Responsibility *
No Fees Required for Youth Ministries Participation (except Greek School)
PTO supports all Youth Ministries and helps to keep youth programming free.
Parents are encouraged to become supporting PTO members by giving at least $25 annually to PTO. Membership forms are available at: http://www.anngoc.org/ministries/youth-ministries/parents-and-teachers-organization. Please make your donation directly to PTO.
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