Children Adults Children 1 Start2 Update Parent Information (Optional)3 Children Information4 Payment 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 Adults 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.