EmailMe Form - Registration

Child’s Name in English

First Name, Last Name

Child’s Name in Russian

First Name, Last Name

Date of Birth:

MM / DD / YYYY

Name of Parents:

Father

First Name, Last Name

Mother

First Name, Last Name

Permission:

We grant permission for the administration of the Parish School to post photographs which include images of our child taken during Parish School events on the Parish School website: www.HolyEpiphanyParishSchool.org (For example: Pictures taken during ELKA)

yes

no

Address and Telephone Numbers:

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Home Phone Number

### - ### - ####

Mother’s Cell

### - ### - ####

Father’s Cell

### - ### - ####

Email

My Child is Baptized:

yes

no

Patron Saint’s Name:

Saint’s Day

New Style Calendar (mm/dd)

My child’s Russian:

Reading

fluent

fair

poor

not at all

Writing

fluent

fair

poor

not at all

Speaking

fluent

fair

poor

not at all

Understanding

fluent

fair

poor

not at all

Parish School Dues (September-May)

Please select one of the choices below

My Child will attend school

on Sundays only. The dues for the Sunday school academic year are as follows: $150 for one child, $250 for two children, and $300 for three or more children.

Parent’s Name

Date

MM / DD / YYYY

Completed REGISTRATION FORMS and PAYMENT are due prior to your child’s first lesson.

Please make check PAYABLE TO:

Holy Epiphany Parish School
and deliver it to: Deac. Victor Gaonson

or mail it to:

Holy Epiphany Parish School
961 South Street
Roslindale, MA 02131

Questions?

Contact Victor Ganson at: v_ganson@hotmail.com