Hope and Joy Registration Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Welcome to the 2024-2025 St. Athanasios Hope & Joy Registration Stewardship: Families should be in good standing with their Stewardship before registering. Please click click here to pay a minimum stewardship of $500 for 2024 if you have not already or your registration will be invalidated. We require you to provide your "giving number" or "envelope number" from Realm. You can locate it from your stewardship statement that was mailed to you or call the office for the number. If you do not have one, please register online for an account. Hope and Joy participants must be baptized in the Greek Orthodox faith. First year Hope & Joy participants need to submit a copy of their baptismal certificate. No Registration Fee For additional information or for questions please contact your HOPE/JOY Coordinator: Elizabeth Piteo - (845) 304-5694 - joy@stathanasiosnj.org Parent/Guardian Primary Contact InformationGuardian Name *FirstLastGuardian Email *RelationshipMotherFatherGrandparentOtherGuardian Phone *Giving Number *This can be found in your Realm account at https://onrealm.org/stathnjInterested in Volunteering? (Guardian 1)yes, I am interested in being an events helperyes, I can provide food or snacks for gatheringsYour contributions of time & talent are always welcome!Secondary Guardian NameFirstLastSecondary Guardian EmailSecondary Guardian RelationshipMotherFatherGrandparentOtherSecondary Guardian PhoneInterested in Volunteering? (Guardian 2)yes, I am interested in being an events helperyes, I can provide food or snacks for gatheringsYour contributions of time & talent are always welcome!Billing Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeResidence is same as Billing Address (if not, uncheck this:)YesResidence AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNumber of Children Registering Selected Value: 1 NextChild 1 InformationName in English (1) *FirstLastChild Email (1)Child Date of Birth (1) *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child Grade entering for 2023-2024 American School (Τάξη μαθητή/τριας στο Αμερικάνικο Σχολείο) (1) *Pre-KK123456789101112Does the child require regular medication? (1) *noyesPlease specify medication (1) *Allergies (1)Hay FeverAsthmaInsects/BeesPoison Ivy/OakFoods (specify)Medication (specify)Epipen required for allergy (must be provided to school)Specify allergy details (if any): (1)Chronic Illness (1)Ear InfectionsHeart DiseaseConvulsions/SeizuresDiabetesFaintingChild 2 InformationName in English (2) *FirstLastChild Email (2)Date of Birth (2) *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child Grade entering for 2023-2024 American School (Τάξη μαθητή/τριας στο Αμερικάνικο Σχολείο) (2) *Pre-KK123456789101112Does the child require regular medication? (2) *noyesPlease specify medication (2) *Allergies (2)Hay FeverAsthmaInsects/BeesPoison Ivy/OakFoods (specify)Medication (specify)Epipen required for allergy (must be provided to school)Specify allergy details (if any): (2)Chronic Illness (2)Ear InfectionsHeart DiseaseConvulsions/SeizuresDiabetesFaintingChild 3 InformationName in English (3) *FirstLastChild Email (3)Date of Birth (3) *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child Grade entering for 2023-2024 American School (Τάξη μαθητή/τριας στο Αμερικάνικο Σχολείο) (3) *Pre-KK123456789101112Does the child require regular medication? (3) *noyesPlease specify medication (3) *Allergies (3)Hay FeverAsthmaInsects/BeesPoison Ivy/OakFoods (specify)Medication (specify)Epipen required for allergy (must be provided to school)Specify allergy details (if any): (3)Chronic Illness (3)Ear InfectionsHeart DiseaseConvulsions/SeizuresDiabetesFaintingChild 4 InformationName in English (4) *FirstLastChild Email (4)Date of Birth (4) *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child Grade entering for 2023-2024 American School (Τάξη μαθητή/τριας στο Αμερικάνικο Σχολείο) (4) *Pre-KK123456789101112Does the child require regular medication? (4) *noyesPlease specify medication (4) *Allergies (4)Hay FeverAsthmaInsects/BeesPoison Ivy/OakFoods (specify)Medication (specify)Epipen required for allergy (must be provided to school)Specify allergy details (if any): (4)Chronic Illness (4)Ear InfectionsHeart DiseaseConvulsions/SeizuresDiabetesFaintingPreviousNextFamily PhysicianFamily Physician NameFamily Physician PhoneEmergency ContactEmergency Contact Name *FirstLastEmergency Contact Phone *Notice Regarding Severe Allergies Please inform the Church office of any severe condititions and provide necessary medication or Epipens. Please make sure to review the approved snack list. Authorization for Medical Treatment (sign here) Clear Signature In the event that I can not be reached, I give permission for the adult in charge to take my child to a qualified licensed physician or to a nearby hospital for necessary treatment.Consent for photographs and videos to be shared on web or social media?YesNoNextPay & Checkout2024-25 Hope & Joy Registration Reminder Stewardship: Families should be in good standing with their Stewardship before registering. Please click click here to pay a minimum stewardship of $500 for 2024 if you have not already or your registration will be invalidated. We require you to provide your "giving number" or "envelope number" from Realm. You can locate it from your stewardship statement that was mailed to you or call the office for the number. If you do not have one, please register online for an account. Hope and Joy participants must be baptized in the Greek Orthodox faith. First year Hope & Joy participants need to submit a copy of their baptismal certificate. No Registration Fee For additional information or for questions please contact your HOPE/JOY Coordinator: Elizabeth Piteo - (845) 304-5694 - joy@stathanasiosnj.org Submit