PGS Registration Form (2020-2021)

Pythagoras Greek School

Registration Form 2020 - 2021

The Greek Orthodox Church of Saint Demetrios

893 Church Road, Elmhurst, Illinois 60126
Enter Access Code Here
PRE-REGISTRATION REQUIREMENTS
1. Non-refundable deposit of $100 per child, payment of supply fee, PTO Activity fee, and graduation fee (if 6th grader) is due at the end of this form.
2. Payment for 2020 Stewardship at St. Demetrios of Elmhurst.
3. Payment in full of previous year’s school balance.
4. Payment in full of previous year’s Stewardship commitment.

CLASSES, TUITION & FEES
PGS - MON/WED PROGRAM

Start Date: Sept. 9, 2020

Pre-K through 6th Grade | 4:30pm - 6:30pm | $800

PSGS - SATURDAY PROGRAM

Start Date: Sept. 12, 2020
- Pre-School - 3 1/2 old | 9:00am - 12:00pm | $450
- Pre-K through 6th Grade | 9:00am - 1:00pm | $850
- Ellinomatheia: 7th through 9th Grade | 10:30am - 1:00pm | $450
No discounts apply for Ellinomatheia.

DISCOUNTS AVAILABLE
- Second child enrolled | -$25
- Third child enrolled | -$25
- Fourth+ child enrolled | -$25
- Full balance paid by Sept. installment (per family) | -$100
PGS & PSGS FEES

Not included in tuition costs
- Supplies (per student) | $40
- PTO Activities (per family) | $20
- 6th grade graduation (per student) | $30
Questions?

Email pythagorasgreekschool@gmail.com with further inquiries.

Family Last Name *
Last Name in Greek
Please provide us with the best email for receiving correspondence about our school from the School Board, Directors, and PTO. Information and updates will always be via email. Your email will not be shared. *
example@example.com
Total students registering *
Stewardship 2020
Verfication of stewardship status at the Greek Orthodox Church of Saint Demetrios in Elmhurst, Illinois will be confirmed by the church office personnel.
Please select one: *

Yes - My family and I are stewards of Saint Demetrios for 2020. Yes - My family and I are stewards of another Greek Orthodox Church and I understand that in order to enroll in the Pythagoras Greek Schools we must also be in good standing with St. Demetrios. Therefore we payed the $550 steward commitment. No - My family and I are not stewards of Saint Demetrios for 2020 and I understand that in order to enroll in the Pythagoras Greek Schools we must also be in good standing with St. Demetrios.
Stewardship Required: If you are not members for 2020 please visit http://www.st-demetrios.org/stewardship/complete-online where you can fill out your Commitment Form and choose how you wish to pay your stewardship either in full with your checking account or credit card OR fill out the ACH for monthly withdrawals (deadline for ACH is August 15). You may proceed to the next step once fufilling this requirement.

Student #1 Information
Name *
Age *
Date of Birth *

Month Day Year
Baptismal Name in Greek *
Feast Day *
My child is baptized in the Orthodox faith and is able to participate in the sacraments of the Church. *

Yes, my child is baptized in our faith and is able to participate in the sacraments of the Church No, my child is not baptized in our faith
Program *
Grade *
Please provide us with a Gmail account so we can enroll your child in a Google Classroom. This cannot be a public school Gmail and can be a parent email. *
example@example.com
Pythagoras Greek School will use the Google Classroom platform to present assignments and homework. You will be prompted prior to the first day of class to join the Google Classroom assigned to your child with a specific code. The code will be sent to the Gmail address you provide above.
Medical Information
Does this student have any special medical problems, take regular medication,or need an inhaler or epi pen? *

Yes No
If YES, please explain. i.e. glasses, asthma, allergies, etc.
If you cannot be contacted, do you give permission to have a paramedic, doctor, or hospital give emergency treatment? *

Yes No
If NO what emergency procedure should be followed?
Agreement Terms *

I give my child permission to attend the Pythagoras Greek Schools of the Greek Orthodox Church of St. Demetrios in Elmhurst, IL, further, I absolve the Greek Orthodox Church of St. Demetrios in Elmhurst, IL, the PGS or PSGS staff, faculty, Parish Council, School Board, of all and any damages or responsibilities in case of illness or accident. In the event that neither I, nor my spouse, or specified emergency contact can be reached in an emergency, I give permission to call a doctor or arrange emergency transportation and treatment at the nearest hospital, if such treatment is required. The Pythagoras Greek Schools and St. Demetrios are not held liable for any medical/emergency costs incurred should such treatment be deemed necessary.

Student #2 Information
Name *
Age *
Date of Birth *

Month Day Year
Baptismal Name in Greek *
Feast Day *
My child is baptized in the Orthodox faith and is able to participate in the sacraments of the Church. *

Yes, my child is baptized in our faith and is able to participate in the sacraments of the Church No, my child is not baptized in our faith
Program *
Grade *
Please provide us with a Gmail account so we can enroll your child in a Google Classroom. This cannot be a public school Gmail and can be a parent email. *
example@example.com
Pythagoras Greek School will use the Google Classroom platform to present assignments and homework. You will be prompted prior to the first day of class to join the Google Classroom assigned to your child with a specific code. The code will be sent to the Gmail address you provide above.
Medical Information
Does this student have any special medical problems, take regular medication,or need an inhaler or epi pen? *

Yes No
If YES, please explain. i.e. glasses, asthma, allergies, etc.
If you cannot be contacted, do you give permission to have a paramedic, doctor, or hospital give emergency treatment? *

Yes No
If NO what emergency procedure should be followed?
Agreement Terms *

I give my child permission to attend the Pythagoras Greek Schools of the Greek Orthodox Church of St. Demetrios in Elmhurst, IL, further, I absolve the Greek Orthodox Church of St. Demetrios in Elmhurst, IL, the PGS or PSGS staff, faculty, Parish Council, School Board, of all and any damages or responsibilities in case of illness or accident. In the event that neither I, nor my spouse, or specified emergency contact can be reached in an emergency, I give permission to call a doctor or arrange emergency transportation and treatment at the nearest hospital, if such treatment is required. The Pythagoras Greek Schools and St. Demetrios are not held liable for any medical/emergency costs incurred should such treatment be deemed necessary.

Student #3 Information
Name *
Age *
Date of Birth *

Month Day Year
Baptismal Name in Greek *
Feast Day *
My child is baptized in the Orthodox faith and is able to participate in the sacraments of the Church. *

Yes, my child is baptized in our faith and is able to participate in the sacraments of the Church No, my child is not baptized in our faith
Program *
Grade *
Please provide us with a Gmail account so we can enroll your child in a Google Classroom. This cannot be a public school Gmail and can be a parent email. *
example@example.com
Pythagoras Greek School will use the Google Classroom platform to present assignments and homework. You will be prompted prior to the first day of class to join the Google Classroom assigned to your child with a specific code. The code will be sent to the Gmail address you provide above.
Medical Information
Does this student have any special medical problems, take regular medication,or need an inhaler or epi pen? *

Yes No
If YES, please explain. i.e. glasses, asthma, allergies, etc.
If you cannot be contacted, do you give permission to have a paramedic, doctor, or hospital give emergency treatment? *

Yes No
If NO what emergency procedure should be followed?
Agreement Terms *

I give my child permission to attend the Pythagoras Greek Schools of the Greek Orthodox Church of St. Demetrios in Elmhurst, IL, further, I absolve the Greek Orthodox Church of St. Demetrios in Elmhurst, IL, the PGS or PSGS staff, faculty, Parish Council, School Board, of all and any damages or responsibilities in case of illness or accident. In the event that neither I, nor my spouse, or specified emergency contact can be reached in an emergency, I give permission to call a doctor or arrange emergency transportation and treatment at the nearest hospital, if such treatment is required. The Pythagoras Greek Schools and St. Demetrios are not held liable for any medical/emergency costs incurred should such treatment be deemed necessary.

Student #4 Information
Name *
Age *
Date of Birth *

Month Day Year
Baptismal Name in Greek *
Feast Day *
My child is baptized in the Orthodox faith and is able to participate in the sacraments of the Church. *

Yes, my child is baptized in our faith and is able to participate in the sacraments of the Church No, my child is not baptized in our faith
Program *
Grade *
Please provide us with a Gmail account so we can enroll your child in a Google Classroom. This cannot be a public school Gmail and can be a parent email. *
example@example.com
Pythagoras Greek School will use the Google Classroom platform to present assignments and homework. You will be prompted prior to the first day of class to join the Google Classroom assigned to your child with a specific code. The code will be sent to the Gmail address you provide above.
Medical Information
Does this student have any special medical problems, take regular medication,or need an inhaler or epi pen? *

Yes No
If YES, please explain. i.e. glasses, asthma, allergies, etc.
If you cannot be contacted, do you give permission to have a paramedic, doctor, or hospital give emergency treatment? *

Yes No
If NO what emergency procedure should be followed?
Agreement Terms *

I give my child permission to attend the Pythagoras Greek Schools of the Greek Orthodox Church of St. Demetrios in Elmhurst, IL, further, I absolve the Greek Orthodox Church of St. Demetrios in Elmhurst, IL, the PGS or PSGS staff, faculty, Parish Council, School Board, of all and any damages or responsibilities in case of illness or accident. In the event that neither I, nor my spouse, or specified emergency contact can be reached in an emergency, I give permission to call a doctor or arrange emergency transportation and treatment at the nearest hospital, if such treatment is required. The Pythagoras Greek Schools and St. Demetrios are not held liable for any medical/emergency costs incurred should such treatment be deemed necessary.

Authorization for Press Release & Internet Use
I authorize my child(ren) to be photographed, videotaped or sound recorded during educational activities or school-participating programs for the benefit of the Greek School. *

Yes No
I grant permission for my child(ren) to use a PC, iPad, or other device and connect to the internet on preapproved applications and sites for educational purposes during class lessons. All activities are closely monitored by the instructor. *

Yes No
I authorize the release of my child’s(ren’s) name(s) and photograph to the press for promoting his/her achievements. *

Yes No
I authorize my child’s(ren’s) name(s) and/or image(s) to be included on the website of the Greek Orthodox Church of St. Demetrios of Elmhurst, IL and the Pythagoras Greek School Facebook, Instagram, and Twitter pages for purposes of promoting the Greek Schools or his/her achievements. *

Yes No

Parent/Guardian Information
Parental Status *
Correspondence to be sent to *

Mother Father Both
Student resides with *

Mother Father Both
Mother/Guardian Information *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Phone *

Area Code Phone Number
Cell Phone *

Area Code Phone Number
Work Phone *

Area Code Phone Number
Email *
example@example.com
Father/Guardian Information *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Phone *

Area Code Phone Number
Cell Phone *

Area Code Phone Number
Work Phone *

Area Code Phone Number
Email *
example@example.com

Emergency Contact Info

Name and phone number of two friends or relatives available during school hours willing to assume temporary care of your child if you cannot be reached.
Emergency Contact #1 *

First Name Last Name
Phone Number *

Area Code Phone Number
Emergency Contact #2 *

First Name Last Name
Phone Number *

Area Code Phone Number

Check Out
Total Deposit Fee
Supply Fee
PTO Activity Fee
6th Grade Graduation Fee
Total (Before credit card fees)
Credit Card Processing Fee (2.9% + $0.30)
Total Due Today

TOTAL DUE TODAY

USD

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Tuition Balance & Agreement

Below is the remaining balance after the initial registration deposit and fees. The tuition balance must be paid with the options provided on tads.com prior to the first day of school.
Student #1
Tuition prior to deposit
Student #2
Tuition prior to deposit
Student #3
Tuition prior to deposit
Student #4
Tuition prior to deposit
Total Remaining Balance Due (without $100 discount)
Includes additional child discount (if eligible).
Total Remaining Balance Due (with $100 discount)
Receive an additional $100 OFF tuition (per family) if paid in FULL on tads.com.
TADS - Tuition Payment System *

I agree to enroll in the online tuition payment system at tads.com to either pay the remaining balance in full and receive a $100 discount (per family) or set-up payment options. I acknowledge the following payment plans are available to select on the day of initial registration. Enrollment will not be complete unless the first installment has been made prior to the first day of classes.
*Payable in 3 equal installments

(TADS set-up by 9/1/20, 11/1/20, 2/1/21)

*Payable in 4 equal installments

(TADS set-up by 9/1/20, 11/1/20, 12/1/20, 2/1/2021)

*Payable in 5 equal installments

(TADS set-up by 9/1/20, 10/1/2020, 11/1/2020, 12/1/2020, 2/1/2021)

Note: An agreement has already been prepared on TADS for returning students. New families to Pythagoras will have to enroll as a new household. If you are having problems accessing TADS at tads.com, please email pythagorasgreekschool@gmail.com immediately for assistance.
ELECTRONIC SIGNATURE: *

Clear
Should be Empty: