Registration Form

Registration Form

School Year 2023 - 2024
Family Information:
Father's Name:

First NameLast Name
Mother's Name:

First NameLast Name
Home Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Email Address:
Secondary Email Address:
(optional)
Father's Cell Number:
Mother's Cell Number:
Emergency Contact Information and Permissions
Emergency Contact #1

First NameLast Name
Emergency Contact #1 Phone Number
Emergency Contact #2 (optional)

First NameLast Name
Emergency Contact #2 Phone Number
I give permission for the following person(s) to pick up my child(ren) from class.
First Name   Last Name      Phone Number
First Name   Last Name      Phone Number
First Name   Last Name      Phone Number
First Name   Last Name      Phone Number
First Name   Last Name      Phone Number
First Name   Last Name      Phone Number
First Name   Last Name      Phone Number
Student Information

Please list all of your children who will be attending St. Sava Cooperative School for the 2023-2024 school year.
****Please note, Full 3-Day Registration is only open to students K - 8, however a Tuesday/Thursday Half Day Registration Session is also open to pre-K students ages 4+. For more details, please see page 2.****
Student #1:

First NameLast Name
Student #1's Grade:
(for school year '23-'24)
Student #1's Age:
(as of the first day of school, August 22, 2023)
Student #1's Birthdate:

MonthDayYear
Date
Student #2:

First NameLast Name
Student #2's Grade:
(for school year '23-'24)
Student #2's Age:
(as of the first day of school, Aug. 22, 2023)
Student' #2's Birthdate:

MonthDayYear
Date
Student #3:

First NameLast Name
Student #3's Grade:
(for school year '23-'24)
Student #3's Age:
(as of the first day of school, Aug. 22, 2023)
Student' #3's Birthdate:

MonthDayYear
Date
Student #4:

First NameLast Name
Student #4's Grade:
(for school year '23-'24)
Student #4's Age:
(as of the first day of school, Aug. 22, 2023)
Student' #4's Birthdate:

MonthDayYear
Date
Student #5:

First NameLast Name
Student #5's Grade:
(for school year '23-'24)
Student #5's Age:
(as of the first day of school, Aug. 22, 2023)
Student' #5's Birthdate:

MonthDayYear
Date
Student #6:

First NameLast Name
Student #6's Grade:
(for school year '23-'24)
Student #6's Age:
(as of the first day of school, Aug. 22, 2023)
Student' #6's Birthdate:

MonthDayYear
Date
Student #7:

First NameLast Name
Student #7's Grade:
(for school year '23-'24)
Student #7's Age:
(as of the first day of school, Aug. 22, 2023)
Student' #7's Birthdate:

MonthDayYear
Date
Student #8:

First NameLast Name
Student #8's Grade:
(for school year '23-'24)
Student #8's Age:
(as of the first day of school, Aug. 22, 2023)
Student' #8's Birthdate:

MonthDayYear
Date
Student Information Continued:
Allergies:
Medical Conditions:
List any medications to be kept on school premises:
Do your children have any special needs that a classroom teacher should know about to facilitate learning?

YesNo
If yes, please explain.
Where do you currently attend church?
St. Sava Cooperative School Statement of Faith

And acknowledgment of Orthodox Church membership
THE NICENE CREED

I BELIEVE IN ONE GOD, THE FATHER ALMIGHTY, MAKER OF HEAVEN AND EARTH AND OF ALL THINGS VISIBLE AND INVISIBLE.

AND IN ONE LORD JESUS CHRIST, THE SON OF GOD, THE ONLY-BEGOTTEN, BEGOTTEN OF THE FATHER BEFORE ALL AGES. LIGHT OF LIGHT; TRUE GOD OF TRUE GOD; BEGOTTEN, NOT MADE; OF ONE ESSENCE WITH THE FATHER, BY WHOM ALL THINGS WERE MADE; WHO FOR US MEN AND FOR OUR SALVATION CAME DOWN FROM HEAVEN, AND WAS INCARNATE OF THE HOLY SPIRIT AND THE VIRGIN MARY, AND BECAME MAN. AND HE WAS CRUCIFIED FOR US UNDER PONTIUS PILATE, AND SUFFERED, AND WAS BURIED. AND THE THIRD DAY HE AROSE AGAIN, ACCORDING TO THE SCRIPTURES, AND ASCENDED INTO HEAVEN, AND SITS AT THE RIGHT HAND OF THE FATHER; AND HE SHALL COME AGAIN WITH GLORY TO JUDGE THE LIVING AND THE DEAD; WHOSE KINGDOM SHALL HAVE NO END.

AND IN THE HOLY SPIRIT, THE LORD, THE GIVER OF LIFE, WHO PROCEEDS FROM THE FATHER; WHO WITH THE FATHER AND THE SON TOGETHER IS WORSHIPPED AND GLORIFIED; WHO SPOKE BY THE PROPHETS.

IN ONE HOLY, CATHOLIC, AND APOSTOLIC CHURCH. I ACKNOWLEDGE ONE BAPTISM FOR THE REMISSION OF SINS. I LOOK FOR THE RESURRECTION OF THE DEAD AND THE LIFE OF THE WORLD TO COME. AMEN.

With your signature, you acknowlege that you are in agreement with our statement of faith.
Parent's Signature*

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I, name of parent(s) , affirm that I am a member in good standing at an Orthodox Christian Church.

Name of parish: please type Name of parish priest: please type

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Registration Form

Family Information:

Emergency Contact Information and Permissions

Student Information

Student Information Continued:

St. Sava Cooperative School Statement of Faith

Registration Options: