St. Nicholas Greek Orthodox Church, Ann Arbor, MI
Church School Registration Form

Each family can use this form to register up to 4 children for Church School. (There is no separate Emergency Form.)
This form is submitted successfully, ONLY when you receive anemail that contains alinkthat allows you to edit this form again (if needed).
Save that email (or save the provided link to this Form and your data as a "favorite" in your browser).
Use the saved link to this form to register for next year:
1. Click the saved link to edit this form.
2. Update the "Academic year" and the "Grade(s)" for the children.
3. Resubmit this Registration Form.
There is no "Fee" to register for Church School.

Academic year*
Select the academic year for which to register your children in Church School
No. of children*
Enter the number of children in your family that you wish to register for Church School

Medical Providers
If the designated parties are not available, I understand appropriate emergency care deemed advisable by St. Nicholas school authorities or St. Nicholas youth advisors will be sought. Any special decisions appropriate to my child have been checked.
Physician Name*
First Name Last Name
Physician Phone*
Dentist Name
First Name Last Name
Dentist Phone
Preferred Hospital*

Emergency Contacts
Please list everyone we can call in case of an emergency or school closing. Note: if a parent/guardian is not available, we will call the next person on the list until someone is contacted.
Contact Name (1)*
First Name Last Name
Relationship (1)*
Phone Number (1)*
Contact Name (2)
First Name Last Name
Relationship (2)
Phone Number (2)
Contact Name (3)
First Name Last Name
Relationship (3)
Phone Number (3)
Contact Name (4)
First Name Last Name
Relationship (4)
Phone Number (4)

Submit Form
Person submitting this form*
First Name Last Name
Is your family a Saint Nicholas member in good standing?*
You are a member in good standing if you made a stewardship pledge for the *current calendar year*
Today's Date*
Month Day Year
Date
By clicking the "Submit" button below you acknowledge that
- You are a parent of the above children.
- The information provided in this form is true and accurate.
Thank you for registering your childern for Church School!
- You will receive aconfirmation emailwith all registration data for your records.
- The email will include a link so you can latereditthe above data (if needed).
IMPORTANT: This form cannot be submitted if any required fields marked with a red star (*) are missing (occurs often when using a smart phone).
You will know that this form has been submitted successfully, ONLY when:
--- You see a THANK YOU message and
--- You receive a confirmation email.
------ Save that email, or save that link as a "favorite" in your browser.
------ Remember: No email confirmation = No registration in Church School!
CS Email Address
Must be: churchschoolaa@gmail.com
Should be Empty: