Saint Paraskevi Greek Orthodox Shrine Church Greek School Registration 2022-2023

Our school is open to children attending up to and including 12th grade(American School). We provide Greek School grades from pre-k to 6th, attending class every Saturday, September-June from 9:30am-1:00pm.

*Includes dance and music instruction*

We also offer a Regents class which meets every Tuesday, October-June

from 5:15pm-7:15pm.

INSTRUCTIONS:

* Please complete one form per student.

* Tuition plus registration is $775 per child. (Multiple child discounts are available) Full tuition is due by December 1st. By submitting the Greek School Registration Form, you understand and acknowledge that the tuition listed below is due in FULL by December 1st. The Greek School Board reserves the right to charge a late payment charge of $50 for tuition not paid in FULL by this date. Any tuition assistance/adjustments will be based on an individual case basis at the discretion of the Greek School Board.

* Child has to be 5 years old by December 1st. In the event that any child does not demonstrate classroom readiness or appropriate behavior, the Greek School Administration reserves the right to dismiss the child from attendance and will refund all registration fees.

Return completed form with check payable to St. Paraskevi Greek School to:

St. Paraskevi Greek Orthodox Shrine Church, Attn: Greek School Registration,

1 Shrine Place, Greenlawn, NY 11740

STUDENT'S INFORMATION

Student's Name *

Age *

Date of Birth *

American School Grade *

Greek School Grade *

FAMILY INFORMATION

Parent's Names *

Street Address *

Address Line 2

City *

State *

Zip Code *

Home Phone *

Work Phone *

Cell *

Email Address *

EMERGENCY CONTACT

Contact Name *

Phone Number *

Doctor Name *

Phone Number *

MEDICAL INFORMATION

Medical Conditions or Allergies we should be aware of *

In the event of an emergency, I hearby authorize the personnel of St. Paraskevi Greek School to secure treatment for my child.

Print Name *

Date *

Signature *

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PHOTOGRAPH CONSENT & RELEASE

I consent to have my son / daughter (enter child's name in the space below) photographed, either individually or in groups. I also consent to the use of my child’s photograph or likeness, to be displayed or printed on boards, yearbook, posters or our school’s website. As the child’s parent or legal guardian, I agree to release the Church, School Board, Teachers and Volunteers from and against any and all claims, demands, actions, complaints, suits or other forms or liability that shall arise out or by reason of, or be caused by the use or my child’s photograph, likeness in any medium.

Child's Name

Signature (Parent or Legal Guardian)

clear

Date *

NOTE: Please indicate here if you do not give consent

No, I do not give consent for my child to be photographed.

UNIFORM (for special events/celebrations – pending agreement)

Sleeveless Sweater Vest – Size

PTO DUES (per family)

PTO dues of $50 per family is required at the time of registration. Our PTO organizes various activities for our students and fundraisers. Please make check payable to “St. Paraskevi Greek School PTO”.

Payment Information

Tuition for one child *

1 Child ($775)

PTO dues (per family) *

$50

Credit Card Payment

IF YOU WOULD PREFER TO HAVE YOUR TUITION CHARGED TO YOUR VISA/MASTERCARD:

Name on Card

Card Number

Expiration Date

Zip Code

Automatic Payment Authorization

I authorize St. Paraskevi Greek Orthodox Shrine Church to charge my/our tuition to my credit/debit card. I understand that this authorization shall continue until December 1, 2022 (if payment is monthly).

Signature

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Date

Stewardship Information

You must become a steward in order to participate in any ministry at St. Paraskevi, including Greek School.

Please consider God's blessings when you make your pledge.

While there is no set amount, we ask you to consider a pledge of $75 per month if you are able.

Thank you.

Please make your choice below.

Please chooses one option only. *

Monthly Pledge with credit card (fill in credit card info below)

Monthly Pledge - Set up recurring payments with you bank

Annual Pledge - One time payment with credit card (fill in credit card info below)

Annual Pledge - Pay by check

Please enter your pledge amount here. *

Credit card number

Expiration date

Zip code