Parent Guardian Information

Relation to Child *

Last Name *

First Name *

Relation to Child

Last Name

First Name

Home Phone: *

Work Phone: *

Cell Phone: *

Email: *

Home Address: *

City: *

Postal Code: *

Student Information

STUDENT 1

Last Name: *

First Name: *

Gender *

Boy

Girl

Date of Birth *

School Grade Completed *

Greek Knowledge *

None

Some

Good

Returning Student *

Yes

OHIP# with Version Code *

Does the student have any food related allergies? *

Yes

Details *

Does the student have any medical condition such as asthma, diabetes, or other? *

Yes

Epipen Required at School *

Yes

Details *

STUDENT 2

Do you have a second student to enroll? *

Yes