Youth Greek Dance Registration Form 2024 - 2025
Fill out the form carefully for registration
Mother's Name
First Name
Last Name
Mother's Occupation
Mother's Home Number
Please enter a valid phone number.
Mother's Cell Number
Please enter a valid phone number.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Back
Next
Father's Name
First Name
Last Name
Father's Occupation
Father's Home Number
Please enter a valid phone number.
Father's Cell Number
Please enter a valid phone number.
Father's Email
example@example.com
Father's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Back
Next
Child / Youth #1
Name
First Name
Last Name
Child / Youth Name Day
Date of Name Day
-
Month
-
Day
Year
Date
Birthday
-
Month
-
Day
Year
Date
Age
Name of School
Grade
Child / Youth Cell Number
Please enter a valid phone number.
Email
example@example.com
Allergies / Medical Conditions
T-Shirt Size
XS
S
M
L
XL
XXL
Shoe Size
Back
Next
Child / Youth #2
Name
First Name
Last Name
Child / Youth Name Day
Date of Name Day
-
Month
-
Day
Year
Date
Birthday
-
Month
-
Day
Year
Date
Age
Name of School
Grade
Child / Youth Cell Number
Please enter a valid phone number.
Email
example@example.com
Allergies / Medical Conditions
T-Shirt Size
XS
S
M
L
XL
XXL
Shoe Size
Back
Next
Child / Youth #3
Name
First Name
Last Name
Child / Youth Name Day
Date of Name Day
-
Month
-
Day
Year
Date
Birthday
-
Month
-
Day
Year
Date
Age
Name of School
Grade
Child / Youth Cell Number
Please enter a valid phone number.
Email
example@example.com
Allergies / Medical Conditions
T-Shirt Size
XS
S
M
L
XL
XXL
Shoe Size
Child / Youth #4
Name
First Name
Last Name
Child / Youth Name Day
Date of Name Day
-
Month
-
Day
Year
Date
Birthday
-
Month
-
Day
Year
Date
Age
Name of School
Grade
Child / Youth Cell Number
Please enter a valid phone number.
Email
example@example.com
Allergies / Medical Conditions
T-Shirt Size
XS
S
M
L
XL
XXL
Shoe Size
Back
Next
Are you a registered member of our church?
Yes
No
Would you like to join?
Greek Dance Yearly fee for Church Members
1 Child / Youth = $325
2 Children / Youths = $640
3 Children / Youths = $945
4 Children / Youths = $1250
Other
Greek Dance Yearly fee for Church Non-Members
1 Children / Youth = $425
2 Children / Youths = $840
3 Children / Youths = $1245
4 Children / Youths = $1650
Other
Submit
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