Greek School Registration

Greek Language & Culture Education School Year 2018/2019

Annunciation Greek Orthodox Church
962 East Ave, Rochester NY 14607


registration ends september 15, 2018

Please complete the form below

PLEASE NOTE: NEW STUDENT(S) MUST BE POTTY TRAINED AND BE OF AGE BY DECEMBER 1: 5 YEARS OLD FOR PRE-K, 6 YEARS OLD FOR KINDERGARTEN (IN 1ST GRADE PUBLIC SCHOOL)
STUDENT #1
STUDENT #1
Date of Birth
Date of Birth
Grade
Has been promoted to Grade
Name & Grade
STUDENT #2
STUDENT #2
Date of Birth
Date of Birth
Grade
Has been promoted to Grade
Name & Grade
STUDENT #3
STUDENT #3
Date of Birth
Date of Birth
Grade
Has been promoted to Grade
Name & Grade
PARENT INFORMATION
Father's Name
Father's Name
Cell
Cell
Mother's Name
Mother's Name
Cell
Cell
Address
Address
EMERGENCY CONTACT
Emergency Contact Name
Emergency Contact Name
Phone
Phone
Please list other family members and any other person(s) who may have your permission to pick up your child/children.
1. Family Member / Other Person
1. Family Member / Other Person
Phone
Phone
2. Family Member / Other Person
2. Family Member / Other Person
Phone
Phone
3. Family Member / Other Person
3. Family Member / Other Person
Phone
Phone