• 2024-25 Registration Form

    2024-25 Registration Form

    Stephen & Areti Cherpelis Hellenic School of St. Nicholas

  • Child(ren)'s Information

  • Child #1

  • Date of Birth:*
     / /
  • Does your child have any allergies? **
  • Are you enrolling another child?*

  • Child #2

  • Date of Birth:*
     / /
  • Does your child have any allergies? **
  • Are you enrolling another child?*

  • Child #3

  • Date of Birth:*
     / /
  • Does your child have any allergies? **
  • Are you enrolling another child?*

  • Child #4

  • Date of Birth:*
     / /
  • Does your child have any allergies? **
  • Are you enrolling another child?*

  • Child #5

  • Date of Birth:*
     / /
  • Does your child have any allergies? **

  • Parent's Information

  • Parent #1

  • Relationship to Child:*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Parent #2

  • Relationship to Child:
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Additional Emergency Contact

  • Would you like to add an additional emergency contact? *
  • Relationship to Child:*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Mailing Address

  • Child(ren)'s Medical Information

  • Format: (000) 000-0000.

  • I understand that in the event of an emergency, 911 will be contacted, if necessary.

  • Date Signed: *
     / /

  • Photo & Video Consent Form

  • I hereby grant to the St. Nicholas Hellenic School, their successors, and their assignees the right to record the image and/or voice and use the artwork and/or written work of my child(ren) on videotape, on film, on photographs, in digital media and in any other form of electronic or print medium and to edit such recording at their discretion.

    I further grant the St. Nicholas Hellenic School, their successors, and their assignees the right to use, and to allow others to use, my child(ren)’s image and/or voice on the internet, in brochures, and in any other medium and hereby consent to such use.

    I hereby release the St. Nicholas Hellenic School, their successors, and their assignees and any using my child(ren)’s image and/or voice, artwork, and/or written work pursuant to this media release form any and all claims, damages, liabilities, costs, and expenses which I or my child(ren) now have or may hereafter have by reason of any use thereof.

    I understand that the provisions of this release are legally binding.

  • Date Signed: *
     / /

  • Tuition & Dues

  • Please select the appropriate package based on the number of children you will be registering:

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                  Stewardship

                  If you have not fulfilled your Stewardship obligation for the 2024 calendar year, you can do so here. Please be aware that your registration is not complete until you have fulfilled your Stewardship obligation.

                  $500.00$500.00
                    
                  Tuition for one child
                  $1,125.00$1,125.00
                    
                  Tuition for two children
                  $2,200.00$2,200.00
                    
                  Tuition for three children
                  $3,000.00$3,000.00
                    
                  Tuition for four children
                  $3,500.00$3,500.00
                    
                  Tuition for five children
                  $4,000.00$4,000.00
                    
                  Registration Fee

                  Waived if registered no later than 6/1/2024. Type "EARLY" into the coupon field below.

                  $100.00$100.00
                    
                  Total
                  $0.00$0.00

                • Payment Methods

                  Choose from one of the PayPal options to make your payment.

                • Should be Empty: