Church School Registration 2021-2022

Student(s) Last Name

Primary Address

Parents' Marital Status

Married Separated Divorced Never Married It's complicated

Father's Information

Name

Spouse's name (if not mother)

Is father an Orthodox Christian Yes No No, but possibly interested

Phone

Address (if different than above)

This address will receive a confirmation email

Mother's Information

Name

Spouse's name (if not father)

Is mother an Orthodox Christian Yes No No, but possibly interested

Phone

Address (if different than above)

This address will receive a confirmation email

Emergency Contact

Name

Relationship to student(s)

Phone

Alt. Phone

Do you have any children not registering for Church School?

Yes No

If so, names and ages

Health Form Waiver

The Coronavirus has continued to be a factor in planning church and educational events. We are doing our part to be compliant with all mandates to ensure you and your family’s safety. We have put in place preventative measures to reduce the spread of COVID-19, but we cannot guarantee that you or family members will not become infected with COVID-19. By participating in programs, services, and activities of St George Cathedral, you agree to the following: On behalf of yourself and your children, you hereby release, covenant not to sue, discharge, and hold harmless [St George Cathedral], its employees, agents, volunteers, and representatives, of and from all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating to your participation in our programs, services, or activities. You understand and agree that this release includes any claims based on the actions, omissions, or negligence of this organization, its employees, agents, and representatives, whether a COVID-19 (or variant) infection occurs before, during, or after participation in any such program, service, or activity. Furthermore, out of concern for our fellow parishioners, I affirm that my child(ren) will practice safe practices outside of church, and he/she/they will not attend Church School if they have been exposed to, around someone with, or show any of the symptoms of Coronavirus. Please type name below to indicate your signature.

1st Child

Name

Sex

Male Female

Date of Birth

Is child an Orthodox Christian?

Yes No No, but possibly interested

Phone

2nd Child

Name

Sex Male Female

Date of Birth

Is child an Orthodox Christian? Yes No No, but possibly interested

Phone

3rd Child

Name

Sex Male Female

Date of Birth

Is child and Orthodox Christian? Yes No No, but possibly considering

Phone

4th Child

Name

Sex Male Female

Date of Birth

Is child an Orthodox Christian? Yes No No, but possibly interested

Phone

5th Child

Name

Sex Male Female

Date of Birth

Is child and Orthodox Christian? Yes No No, but possibly interested

Phone

Final Question

Are any of your children interested in joining the Children's Choir?

Yes No

Church School Registration 2021-2022

Description

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