Church School Registration 2022-2023
Please fill out this form and click submit.
Student(s) Last Name
*
Primary Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Parents' Marital Status
*
Please select one option.
Married
Separated
Divorced
Never Married
It's complicated
Father's Information
Name
Spouse's name (if not mother)
Is father an Orthodox Christian
Please select one option.
Yes
No
No, but possibly interested
Phone
Address (if different than above)
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email
This address will receive a confirmation email
Mother's Information
Name
Spouse's name (if not father)
Is mother an Orthodox Christian
Please select one option.
Yes
No
No, but possibly interested
Phone
Address (if different than above)
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email
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?
*
Please select one option.
Yes
No
If so, names and ages
1st Child
Name
*
Sex
*
Please select one option.
Male
Female
Date of Birth
*
Is child an Orthodox Christian?
*
Please select one option.
Yes
No
No, but possibly interested
Grade in 2022-2023 school year
*
Please select one option.
Pre School
Pre K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Select Option
Pre School
Pre K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Phone
Email
2nd Child
Name
Sex
Please select one option.
Male
Female
Date of Birth
Is child an Orthodox Christian?
Please select one option.
Yes
No
No, but possibly interested
Grade in 2022-2023 school year
Please select one option.
Pre School
Pre K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Select Option
Pre School
Pre K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Phone
Email
3rd Child
Name
Sex
Please select one option.
Male
Female
Date of Birth
Is child and Orthodox Christian?
Please select one option.
Yes
No
No, but possibly considering
Grade in 2022-2023 school year
Please select one option.
Pre School
Pre K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Select Option
Pre School
Pre K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Phone
Email
4th Child
Name
Sex
Please select one option.
Male
Female
Date of Birth
Is child an Orthodox Christian?
Please select one option.
Yes
No
No, but possibly interested
Grade in 2022-2023 school year
Please select one option.
Pre School
Pre K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Select Option
Pre School
Pre K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Phone
Email
5th Child
Name
Sex
Please select one option.
Male
Female
Date of Birth
Is child and Orthodox Christian?
Please select one option.
Yes
No
No, but possibly interested
Grade in 2022-2023 school year
Please select one option.
Pre School
Pre K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Select Option
Pre School
Pre K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Phone
Email
Final Question
Are any of your children interested in joining the Youth Choir?
*
Please select one option.
Yes
No
Submit
Description
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