Rev. Protopresbyter Anargyros Stavropoulos, Pastor

Family Name:
Address:
City:
Zip Code:
Phone:
E-mail:
Child's Name:
Date of Birth:
Age:
Grade In School:
Name Day:
Child's Name:
Date of Birth:
Age:
Grade In School:
Name Day:
Child's Name:
Date of Birth:
Age:
Grade In School:
Name Day:
Child's Name:
Date of Birth:
Age:
Grade In School:
Name Day:
Parent's First Names: (Please provide your last name if it is different from your child's)
Mother's Name:
Father's Name

Little Angels: 2 to 3 years old.
Pre-K Class:  A child must be 3 years old by April 1st.

Registration fee:  $20.00 per child

Yes, I', willing to bring snacks for Church School one to two Sundays out of the year.
Yes, I am interested in becoming a class parent.