2024-2025 GOYA Registration Form

St. George AP/Ocean
Greek Orthodox Church

GOYA Registration
2024-2025

Note: Registration is not complete until you hit
the 'Submit' button on the last window.
GOYAN, Parent, & Emergency Contact Information

To be completed by a Parent/Guardian
GOYAN*

First NameLast Name
Baptismal Name*
Date of Birth*

MonthDayYear
Name Day*
Include Month & Day
Grade as of Sept 2024*
Name of School Attending*
GOYAN Cell*
GOYAN Home
GOYAN E-mail*
Gender*
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Father or Guardian*

First NameLast Name
Father/Guardian Cell*
Father/Guardian E-Mail*
Mother or Guardian*

First NameLast Name
Mother/Guardian Cell*
Mother/Guardian E-Mail*
Additional Emergency Contacts

Provide 2 alternate, emergency contacts in the event the parents/guardians are not reachable if your child is ill/injured. If the parents/guardians are unavailable, this person might have to make a decision on your child's behalf.
Emergency Contact *

First NameLast Name
Emergency Contact Number*
Alternate Emergency Contact*

First NameLast Name
Alternate Emergency Contact Number*
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GOYA Requirements & Guidelines

To be completed by a Parent/Guardian & GOYAN
By initialing below, we have READ and AGREE TO all of the requirements for being a ACTIVE MEMBER of GOYA, including GOYA Experience & Expectations, Rules, Regulations & Requirements, Liability Release Form, and Parent Opportunities (all found on https://www.stgeorgeap.org/goya/ under 'Important GOYA Links') as well as the Emergency Medical Treatment and GOYA Stewardship Commitments (in above form).

Acknowledgement & Acceptance*

	Parent/Guardian Read & Agrees to Terms	GOYAN Read & Agrees to Terms
GOYA Experience & Expectations (https://www.stgeorgeap.org/goya-requirements-guidelines/)
Parent Opportunities (https://www.stgeorgeap.org/goya-requirements-guidelines/)
Rules, Regulations & Requirements (https://www.stgeorgeap.org/wp-content/uploads/2022/08/GOYA_RULES_2022.pdf)
General Liability / Parent Release Form (https://www.stgeorgeap.org/wp-content/uploads/2021/03/Parental_Release_Form__2014.pdf)
Emergency Medical Treatment (found in form, above)
GOYAN Stewardship (found in form, above)

Parent & Guardian Mentors

To be completed by a Parent/Guardian **OPTIONAL**
As our GOYANs look to their future we would like to put them in touch with adults who work in their career field of interest or attended the same higher education institutions. If you are willing to be a part of this mentorship effort, please include your information below. Your contact information will not be published. It will only be supplied to the GOYAN who would like to speak with you. Thank you for being a part of this program!

***NOTE***
- If you are submitting registration forms for multiple GOYANs this section only needs to be completed on ONE registration form.
- If you supplied this information in a previous year you do not need to provide it again unless there is a change you want to share.
Father/Guardian - College/University/Additional Education
Father/Guardian - Current Career
Father - Employer
Mother/Guardian - College/University/Additional Education
Mother/Guardian - Current Career
Mother - Employer
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Feedback

We value your input & welcome your feedback!
Please share your thoughts on how we can make our GOYA even better or feel free to reach out to any GOYA Advisor through the year with your suggestions.
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GOYAN, Parent, & Emergency Contact Information