Registration 2022-2023
Afternoon & Saturday Classes
Number of students Registering
*
1
2
3
4
Student 1's legal name
*
First Name
Last Name
Date of birth
*
-
Month
-
Day
Year
Date
Grade Level
List any Allergies
Class Days Preferred
Saturdays 9 am - 1:30 pm
Tuesdays & Thursdays 4 pm - 6 pm
Student 2's Information
Student 2's Legal Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Grade Level
List any Allergies
Class Days Preferred
Saturdays 9 am - 1:30 pm
Tuesdays & Thursdays 4 pm - 6 pm
Student 3's Information
Student 3's legal name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Grade Level
List any Allergies
Class Days Preferred
Tuesdays & Thursdays 4 PM-6 PM
Saturdays 9 AM-1:30 PM
Student 4's Information
Student 4's Legal Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Grade Level
List any Allergies
Class Days Preferred
Saturdays 9 am - 1:30 pm
Tuesdays & Thursdays 4 pm - 6 pm
Parent/Guardian Information
1st Parent/Guardian's Name
*
First Name
Last Name
1st Parent/Guardian's Email
*
1st Parent/Guardian's Phone Number
*
-
Area Code
Phone Number
2nd Parent/Guardian's Name
First Name
Last Name
2nd Parent/Guardian's Email
2nd Parent/Guardian's Phone Number
-
Area Code
Phone Number
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Relation to student(s)
Payment Method
*
Check
Credit Card
Venmo/Paypal
Pay by Check
Please make check payable to the "The Greek School of Plato" and enter the amount according to our tuition package above.
Mail your check to our new building: 670 92nd St. Brooklyn NY 11228
Pay by Venmo or Paypal
To pay with Venmo or PayPal, follow the instructions in the confirmation page, after you submit this form.
Enter the amount according to our tuition package above.
Credit Card
Payment Options
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next
( X )
Full Payment
$
1,625.00
Quantity
1
2
3
4
Pay in 2 installments
$
812.50
Pay one half by September 12, 2020 and the other by December 5, 2020
Quantity
1
2
3
4
Subtotal
$
0.00
Tax
$
0.00
Total
$
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Comments and submission
Please share any comments, ideas and/or things we should know about the students (ex. disabilities)
Signature (write on screen)
Submit
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