subject_line
Parent Guardian Information
Relation to Child
*
Father
Mother
Guardian
Last Name
*
First Name
*
Relation to Child
Father
Mother
Guardian
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
No
Does the student have any food related allergies?
*
Yes
No
Details
*
Does the student have any medical condition such as asthma, diabetes, or other?
*
Yes
No
Epipen Required at School
*
Yes
No
Details
*
STUDENT 2
Do you have a second student to enroll?
*
Yes
No