Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Student Information Student Names Student Name *FirstLastGender *MaleFemaleGrade Level *Pre-KKindergarten123456789101112Date of Birth * Add child Remove child Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMedical Conditions/AllergiesPlease list all info for each child.Parent/Guardian Information Parent/Guardian Name *FirstLastEmail *Phone * a Emergency transaction Emergency Contact Emergency Contact Name *FirstLastEmergency Phone *Acknowledgment *AgreeAs the parent/legal guardian of the minor child registered above, I hereby grant permission for my child to participate in all activities and outings organized by the Followers of Christ (FOC) program offered by St. George Coptic Orthodox Church. I acknowledge and agree that there are inherent risks associated with these activities. In consideration for allowing my child to participate, I hereby release, waive, and forever discharge St. George Coptic Orthodox Church, its employees, volunteers, agents, and FOC program organizers from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or injury that may be sustained by my child while participating in or traveling to/from these activities. This release is intended to be as broad and inclusive as permitted by law."Signature Clear Signature Hey FOC, Payments can be made easily through Zelle just scan the QR code. The cost is $45 for 1 child, $80 for 2 children, $110 for 3 children, $140 for 4 children. Thank you so much for your support!" Coupon Apply Please contact Fr.Abraham, if you can't afford the payment.Once you complete your payment, simply take a screenshot of the transaction and upload it here. * Click or drag a file to this area to upload. ThanksRegister