Parent Guardian Information

Relation to Child *

First Name

Last Name *

Relation to Child

First Name

Last 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

Food Allergies Details *

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

Epipen Required at School * *

Yes

STUDENT 2

Do you have a second student to enroll? *

Yes