Registration Form Name and AddressParent Name* First Last Parent Name First Last Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone Number*Email Address* Minimum Age RequirementSocrates Greek School will only accept students who will be reaching the age of 5 years old by December 31st of the registration year. Student InformationNumber of Students*Select one1 Student2 Students3 StudentsStudent 1 Name* First Last Student 1 Date of Birth* MM slash DD slash YYYY Student 1 Care Card Number*Student 1 T-Shirt ($25)I don't want a T-ShirtS (Youth)M (Youth)L (Youth)SMLXLStudent 1 Medical Concerns or Learning DisabilitiesStudent 2 Name First Last Student 2 Date of Birth MM slash DD slash YYYY Student 2 Care Card NumberStudent 2 T-Shirt ($25)I don't want a T-ShirtS (Youth)M (Youth)L (Youth)SMLXLStudent 2 Medical Concerns or Learning DisabilitiesStudent 3 Name First Last Student 3 Date of Birth MM slash DD slash YYYY Student 3 Care Card NumberStudent 3 T-Shirt ($25)I don't want a T-ShirtS (Youth)M (Youth)L (Youth)SMLXLStudent 3 Medical Concerns or Learning Disabilities DancingI am interested in participating in Greek dancing* Yes No Will be twice a month on Saturday afternoons. Times to be announced.School LocationSchool Location (For when in class instruction resumes)* Vancouver Coquitlam Emergency Contact InformationEmergency Contact 1 Name* First Last Emergency Contact 1 Relationship* Emergency Contact 1 Phone*Emergency Contact 2 Name First Last Emergency Contact 2 Relationship Emergency Contact 2 Phone Payment InformationPayment Method*Select Payment MethodOne Time PaymentMonthly PaymentsFee SummaryAnnual Registration Fee Price: Annual Tuition: Price: $ 0.00 CAD Annual Educational Resources: Price: $ 0.00 CAD T-Shirts: Price: $ 0.00 CAD 1 T-Shirt (Youth S): $251 T-Shirt (Youth M): $251 T-Shirt (Youth L): $251 T-Shirt (Small): $251 T-Shirt (Medium): $251 T-Shirt (Large): $251 T-Shirt (XLarge): $251 T-Shirt (Youth S): $251 T-Shirt (Youth M): $251 T-Shirt (Youth L): $251 T-Shirt (Small): $251 T-Shirt (Medium): $251 T-Shirt (Large): $251 T-Shirt (XLarge): $251 T-Shirt (Youth S): $251 T-Shirt (Youth M): $251 T-Shirt (Youth L): $251 T-Shirt (Small): $251 T-Shirt (Medium): $251 T-Shirt (Large): $251 T-Shirt (XLarge): $25Monthly Tuition: Price: $ 0.00 CAD TotalUp Front Payment (Paid today) Price: $ 0.00 CAD Monthly Payment (Billed the 15th of every month for 9 months starting Sep 15) Price: $ 0.00 CAD Total Price: $ 0.00 CAD HiddenSubscription Start Date Month Day Year Billing InformationBilling Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Credit CardCard Details Cardholder Name -CommentsThis field is for validation purposes and should be left unchanged.
