Student Registration Form

Student's Information

Student's Name *

First

Last

Date of birth

Grade in Canadian school as of September 1, 2022

What school does your child attend?

Mailing Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

What is your instruction preference? *

Online Classes
In-Class Sessions

Which classes are you interested in?

First Parent and Tot (infants to age 3, 30 minute class, parent must be present)
Preschool to elementary
Credits (Grade 7-12)

Credits (Grade 7-12)

Parent 1 *

First

Last

Email *

Phone

Parent 2

First

Last

Email

Phone

Emergency Contact *

First

Last

Relation to student

Phone

Prior Learning

Has your child ever attended Greek School?

Yes
No

Please indicate which level/grade they completed:

Who speaks Greek at home?

Is your child enrolled in any other extra-curricular activities?

Yes
No

How often?

For us to meet your child’s need and accommodate our instruction for them, please indicate below whether there are any current challenges in their learning.

FOIP : Do you agree to the image of your child being used for any promotional purposes such as our website or social media? *

Yes
No
Yes, if in a large group or from a distance where faces cannot be discerned
If faces not showing or all children covered with an emoji

Medical Information

Alberta Health Care Number

Allergies

Hellenic Academia, Edmonton, AB