Kirikian Armenian School Registration Form

Kirikian Armenian School Registration

Welcome to the Kirikian Armenian School where we have been educating young Armenians in reading, writing, history, culture, and religion for decades. We are very excited to welcome your children back to in-person education with your children's safety as our top priority. Please take a moment to fill out this short form now so that our first day of school can run smoothly.
Date*

MonthDayYear
Date
How many students would you like to register for Kirikian Armenian School?
Name of First Student*
This child is a
Date of Birth*

MonthDayYear
Grade
Does your child have any prior Armenian education at another school? If so, please explain.
Does your child speak Armenian at home?

Other
Does your child have any special circumstances that we should be aware of?*
Does your child have any allergies? If so, please explain.*
Does your child play any musical instruments? If so, which one?
Name of Second Student*
This child is a
Date of Birth*

MonthDayYear
Grade
Does your child have any prior Armenian education at another school? If so, please explain.
Does your child speak Armenian at home?

Other
Does your child have any special circumstances that we should be aware of?*
Does your child have any allergies? If so, please explain.*
Does your child play any musical instruments? If so, which one?
Name of Third Student*
This child is a
Date of Birth*

MonthDayYear
Grade
Does your child have any prior Armenian education at another school? If so, please explain.
Does your child speak Armenian at home?

Other
Does your child have any special circumstances that we should be aware of?*
Does your child have any allergies? If so, please explain.*
Does your child play any musical instruments? If so, which one?
Name of Fourth Student*
This child is a
Date of Birth*

MonthDayYear
Grade
Does your child have any prior Armenian education at another school? If so, please explain.
Does your child speak Armenian at home?

Other
Does your child have any special circumstances that we should be aware of?*
Does your child have any allergies? If so, please explain.*
Does your child play any musical instruments? If so, which one?
If you are registering a returning student from last year, have any of your addresses, emails or phone numbers changed since your last registration?
Mother's Name*
Father's Name*
Mother's Address *
Father's Address (if different)
Mother's Email*
Father's Email*
Mother's Cellphone*
Format: (000) 000-0000.
Father's Cellphone*
Format: (000) 000-0000.
Mother's Occupation
Father's Occupation
Emergency Contact Name*
Emergency Contact Cellphone*
Format: (000) 000-0000.
Name of Physican/Pediatrician
Physician/Pediatrician phone
Format: (000) 000-0000.
Where did you hear about us?

Other
The tuition for the year is $450/child for the entire school year. As a courtesy, we offer a reduction for the third and subsequent children where the tuition is $425. We serve the Armenian community and want to be able to help every child who would like to learn Armenian. If you would consider making a donation to help a needy child attend our program, please add a donation of any amount to your payment. The options for payment are as follows:
- Send a check to: Ani Capan (105 Dyer Court, Norwood, NJ 07648)
- Make a Venmo payment to Mary Ann Saraydarian @kirikianarmenianschool (last 4 of her cell - 3203)
- Bring cash or a check on the first day of school
We urge you to please pay in advance so that we can focus on the safety and education of your children on the first day of school. If you have any questions, please feel free to email Ani Capan at ani@lacapan.com
I consent to having my child/children's images published in printed and digital media. No names will be used and tags will be blocked.
Signature*
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