Clone of Copy of New 2025-26 Pythagoras Greek School Registration Form

Family and Emergency Contact Information
Family Last Name
Family Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your family's current stewardship status with St. John the Baptist?
Parent 1 - Name:

First NameLast Name
Parent 1 - E-mail:
example@example.com
Parent 1 - Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Parent 2 - Name:

First NameLast Name
Parent 2 - Email:
example@example.com
Parent 2 - Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Information

The specified contact below will be notified if parents cannot be reached.
Emergency Contact:

First NameLast Name
Emergency Contact Number:
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Student(s):

Allergy and Medical Information
Does your child have any allergies?
Please specify the name of the child and describe related allergies:
Does your child have any medical condition(s) that requires the school's awareness:
Please specify the name of the child and describe related medical conditions:
Please note teachers are not authorized to administer medicines or provide medical related services.

Emergency Consent

If the parents or emergency contact cannot be contacted in case of serious injury or illness, I authorize the school to take such emergency action as deemed necessary, including the transportation of the student to a hospital or medical center. As a parent or guardian, I do herewith authorize treatment by a qualified and licensed medical doctor of the above listed minor(s) in the event of a medical emergency which, in the opinion of the attending physician, may endanger his/her life, cause disfigurement or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to contact the parents or emergency contact provided.
Your Name:

First NameLast Name
Your Digital Signature (signifying authorization):

Consent and Release for Public Relations, Press Releases, Yearbook, Internet/Website Information

From time to time, the Pythagoras Greek School (“School”) or St. John the Baptist Greek Orthodox Church (“Church”) may wish to include student images, video or website media published by the School or the Church. By signing below, you authorize the registered child(ren)’s name and likeness (whether photographed, videotaped or sound-recorded) to be used in print, on the School or Church website or in any other media, provided the purpose of such use is to recognize an achievement of child(ren) or for the promotion or benefit of the School or the Church. By signing below, you confirm that we have full authority to make the authorization granted here and that no other party’s permission is required.
Your Name:

First NameLast Name
Your Digital Signature (signifying authorization):

Pythagoras Parent Directory
Do you provide us with permission to add the listed parents (including name, e-mail and phone numbers) as well as your children's name(s) to our Pythagoras Parent Directory? The directory is intended to enable parents/guardians of enrolled children at the school to better self-organize and network/collaborate with each other. Note: this is completely optional as there is no obligation to participate. We plan to share the directory with all participants that opt-in and will ask that recipients only use the contact information for school and social related purposes.

Tuition Dues

(Any additional discounts will be applied upon the completion of all payments)
Please indicate your preferred method of payment:
Greek School Programs
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Saturday School - One Student
$1,100.00



Saturday School - Second Student
$1,000.00



Saturday School - Third Student
$900.00



Saturday School - Fourth Student
$900.00



Wednesday - Each Student
$650.00



Registration Fee - Non Refundable
$150.00



Ellinomatheia - Levels A1, A2, B1
Add $100 for book fee.

$750.00



Total

$0.00
Name

First NameLast Name
Should be Empty:

2026-27 Student Registration Form