Three Hierarchs Orthodox Christian High School Course Registration for 2023 - 2024 
All entering students must be entering 9th graders, with the exception of the Orthodox Lifestyles Course and Theology.

Please complete the admissions application, along with the necessary documents listed below. Once all items have been received, your application will be considered complete and will be reviewed at that time. Please contact headmistress@thochs.org with any questions. 
Sign in to Google to save your progress. Learn more
Email *
Student Information
Please provide information regarding the student.
Student's Last Name *
Student's First Name *
Grade Entering 2023 - 2024 *
Please indicate any and all allergies your child has. *
Student's Date of Birth
Student's Baptismal Name *
Student's Saint's Names Day
Home Parish
Languages Spoken *
Required
Has your child been assessed for and/or received Special Education services? *
If yes, please explain and provide necessary paperwork. *
Parent/Guardian Information
Mother's Last Name *
Mother's First Name *
Mother's Occupation
Mother's Employer
Mother's Email Address
Mother's Mobile Phone Number
Mother's Street Address
Mother's City
Mother's State
Mother's Zip Code
Father's Last Name
Father's First Name
Father's Occupation
Father's Employer
Father's Email Address
Father's Mobile Phone Number
If Father's home address is different than mother's, please indicate his home address. *
Medical Information
Please indicate if your child has any allergies, please list the child's name and allergies or medical conditions the school should be aware of (i.e. diabetes, seizures, etc.):  Please indicate NONE if necessary.
Medical Contact Information
Physician's Name 
Physician’s Telephone Number
Dentist's Name
Dentist's Phone Number
Emergency Contacts
Please list below any individuals who are authorized to pick up your Child, INCLUDING parents and guardians and their PHONE NUMBERS. This will ensure that your child is dismissed only to authorized persons. Please notify the office and your child’s teacher immediately if there are any changes to this list.
Emergency Contact #1:  Full Name (Last Name, First Name) 
Emergency Contact #1 telephone number
Emergency Contact #1:  Relationship to child 
Emergency Contact #2:  Full Name (Last Name, First Name) 
Emergency Contact #2:  Telephone Number 
Emergency Contact #2:  Relationship to child 
Emergency Contact #3: Full Name (Last Name, First Name) 
Emergency Contact #3: Telephone number
Emergency Contact #3: Relationship to child
Course Selection
Please select the courses you would like for your child to take. Each course is $1,250 or $5,000 for all five classes
Please select the courses you would like for your child to take. H = Honors; R  =  Regular. Each course is $1,250 or $5,000 all five classes. Honors courses require more time, effort, and discipline. All classes listed below meet in person at our Niles location.
*
Required
Please provide any questions and/or comments
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Elizabeth Kotis. Report Abuse