School Registration

• Primary Parent*
  Mr.Mrs.MissMs.Dr.Prof.Rev.
  Prefix
  
  First
  
  Last
• Email*
  
• Phone*
• Have you registered before?*
  • Yes, and my information hasn’t changed.
  • No, or my information needs to be updated.

• Spouse Name
  Mr.Mrs.MissMs.Dr.Prof.Rev.
  Prefix
  
  First
  
  Last
• Spouse Phone
• Home Address*
  
  Street Address
  
  Address Line 2
  
  City
  AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific
  State
  
  ZIP Code
  

• Number of Children Attending*Please enter a number from 1 to 10.
• Do you need to update your child(ren) information?If you are registering additional child or would like to update the information provided during last registration, please choose “Yes”.
  • Yes
  • No

• Child Information

• Name*
  
  First Name
  
  Ukrainian Spelling
• Age*years oldUnder 3345678910111213141516
• Does your child have any allergies or needs any special accommodations?*
  • Yes
  • No
• Please describe in detail*
• Ukrainian Language Skill*No ComprehensionBasic ComprehensionAdvanced ComprehensionBasic Reading & WritingAdvanced Reading & Writing
• You indicated that you provided your child’s information during the previous registration, If your child’s information have changed please update your response above.

• 2nd Child

• Name*
  
  First Name
  
  Ukrainian Spelling
• Age*years oldUnder 3345678910111213141516
• Does your 2nd child have any allergies or needs any special accommodations?*
  • Yes
  • No
• Please describe in detail*
• Ukrainian Language Skill*No ComprehensionBasic ComprehensionAdvanced ComprehensionBasic Reading & WritingAdvanced Reading & Writing
• You indicated that you provided your child’s information during the previous registration, If your child’s information have changed please update your response above.

• 3rd Child

• Name*
  
  First Name
  
  Ukrainian Spelling
• Age*years oldUnder 3345678910111213141516
• Does your 3rd child have any allergies or needs any special accommodations?*
  • Yes
  • No
• Please describe in detail*
• Ukrainian Language Skill*No ComprehensionBasic ComprehensionAdvanced ComprehensionBasic Reading & WritingAdvanced Reading & Writing
• You indicated that you provided your child’s information during the previous registration, If your child’s information have changed please update your response above.

• Children

• Please provide your kids’ names, ages, allergy restrictions and Ukrainian language skills below.*
• You indicated that you provided your child’s information during the previous registration, If your child’s information have changed please update your response above.

• Annual Registration Fee*
  
  Price: $20.00
  
• Tuition*Covers 1 child for 1 trimester
  
  Price: $135.00
  
  
• Tuition*Covers 2 children for 1 trimester
  
  Price: $200.00
  
  
• Your Total
  $0.00
  
• Payment Options
  • I would like to pay online using Credit Card or Paypal
  • I will pay in person using cash or check
• • 
    By submitting this form I am registering my child to attend Tidewater Ukrainian School and agreeing to pay 2018 Registration Fee.
• Under 4
• 4 – 6
• 7 – 9
• 10 – 13

Adult School Registration Form

1 Start2 Additional Information3 Payment Information

• Name*
  Mr.Mrs.MissMs.Dr.Prof.Rev.
  Prefix
  
  First
  
  Last
  
  Ukrainian Spelling
• Email*
  
• Phone*

• Home Address*
  
  Street Address
  
  Address Line 2
  
  City
  AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific
  State
  
  ZIP Code
  
• Age*Please enter a number from 15 to 99.
• Do you have any allergies or needs any special accommodations?*
  • Yes
  • No
• Please describe in detail*
• Ukrainian Language Skill*No ComprehensionBasic ComprehensionAdvanced ComprehensionBasic Reading & WritingAdvanced Reading & Writing

• Annual Registration Fee*
  
  Price: $20.00
  
  
• Tuition*Covers 1 adult student for 1 trimester
  
  Price: $180.00
  
  
• Your Total
  $0.00
  
• Payment Options
  • I would like to pay online using Credit Card or Paypal
  • I will pay in person using cash or check
• • 
    By submitting this form I am registering my child to attend Tidewater Ukrainian School and agreeing to pay Registration Fee.