GOYA 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 GOYA 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. GOYANs must be baptized in the Greek Orthodox faith, and at least 12 years old entering the 7th grade of American school. First year GOYANs need to submit a copy of their baptismal certificate. Registration Fee: $100 per child must be paid online only using this form. Cancellation Policy: A full refund will be paid thru October 31, 2024. There will be no refunds thereafter Parent/Guardian Primary Contact InformationGuardian Name *FirstLastGuardian Email *RelationshipMotherFatherGrandparentOtherGuardian Phone *Giving Number *This can be found in your Realm account at https://onrealm.org/stathnjSecondary Guardian NameFirstLastSecondary Guardian EmailSecondary Guardian RelationshipMotherFatherGrandparentOtherSecondary Guardian PhoneBilling 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) *FirstLastGOYAn Email (1)GOYAn Date of Birth (1) *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GOYAn grade entering for 2023-2024 American School (1) *789101112Sports Team Sign-up (1)BasketballVolleyball(optional)Do you have a uniform from previous years? (1) *yes, I have a uniformno, I will need to order a uniformMedical Authorization (sign here) (1) * Clear Signature I authorize that my child is medically cleared to participate in practices and games for GOYA Basketball and GOYA Volleyball.Tshirt Size (1)SMLXLDoes 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 chaperone or advisor at any event)Specify allergy details (if any): (1)Chronic Illness (1)Ear InfectionsHeart DiseaseConvulsions/SeizuresDiabetesFaintingChild 2 InformationName in English (2) *FirstLastGOYAn Email (2)Date of Birth (2) *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GOYAn grade entering for 2023-2024 American School (2) *789101112Sports Team Sign-up (2)BasketballVolleyball(optional)Do you have a uniform from previous years? (2) *yes, I have a uniformno, I will need to order a uniformMedical Authorization (sign here) (2) * Clear Signature I authorize that my child is medically cleared to participate in practices and games for GOYA Basketball and GOYA Volleyball.Tshirt Size (2)SMLXLDoes 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 chaperone or advisor at any event)Specify allergy details (if any): (2)Chronic Illness (2)Ear InfectionsHeart DiseaseConvulsions/SeizuresDiabetesFaintingChild 3 InformationName in English (3) *FirstLastGOYAn Email (3)Date of Birth (3) *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GOYAn grade entering for 2023-2024 American School (3) *789101112Sports Team Sign-up (3)BasketballVolleyball(optional)Do you have a uniform from previous years? (3) *yes, I have a uniformno, I will need to order a uniformMedical Authorization (sign here) (3) * Clear Signature I authorize that my child is medically cleared to participate in practices and games for GOYA Basketball and GOYA Volleyball.Tshirt Size (3)SMLXLDoes 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 chaperone or advisor at any event)Specify allergy details (if any): (3)Chronic Illness (3)Ear InfectionsHeart DiseaseConvulsions/SeizuresDiabetesFaintingChild 4 InformationName (4) *FirstLastGOYAn Email (4)Date of Birth (4) *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GOYAn grade entering for 2023-2024 American School (4) *789101112Sports Team Sign-up (4)BasketballVolleyball(optional)Do you have a uniform from previous years? (4) *yes, I have a uniformno, I will need to order a uniformMedical Authorization (sign here) (4) * Clear Signature I authorize that my child is medically cleared to participate in practices and games for GOYA Basketball and GOYA Volleyball.Tshirt Size (4)SMLXLDoes 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 chaperone or advisor at any event)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 and Agreement (sign here) * Clear Signature My signature gives permission for 1) my child to have bus/car transportation to and from St. Athanasios for GOYA functions. 2) my child’s picture and or name to appear on the St. Athanasios Website or literature. 3) my student contact information to be used in the GOYA directory. I/We, as Parent/Legal Guardian(s) of the GOYAN Participants give permission for my/our child to participate in any/all activities of the St. Athanasios GOYA for so long as my/our child is a registered member of the St. Athanasios Greek Orthodox Church GOYA and all activities related to the Greek Orthodox Metropolis of New Jersey GOYA unless otherwise indicated on this form, or on the child’s medical form. These activities include but are not limited to: basketball, soccer, track and field events, volleyball, swimming, dancing, and field trips. I/We understand that no responsibility is incurred by the St. Athanasios GOYA, the Greek Orthodox Archdiocese of America, the Greek Orthodox Metropolis of New Jersey, St. Athanasios Greek Orthodox Church, their leaders, employees, and volunteer staff, for loss of documents, or damage to luggage or any personal belongings. I/We understand that photos and/or video will be taken throughout the event of the activities and the participants. I/We also understand that photos and any videos will be taken for the sole purpose of future promotion of the program. Therefore, we consent to the use of any video images, photographs, audio recordings, or any other visual or audio reproduction that may be taken of my/our child during the activities of the St. Athanasios GOYA to be used, distributed, or shown as St. Athanasios Greek Orthodox Church, St. Athanasios GOYA and/or the Greek Orthodox Metropolis of New Jersey see fit. I/We understand that all reasonable safety precautions will be taken at all times by the St. Athanasios Greek Orthodox Church, St. Athanasios GOYA and the Metropolis of New Jersey and their agents during all activities of the St Athanasios GOYA. I/We understand the possibility of unforeseen hazards and know the inherent possibility of risk in all sporting activities, dances, water activities etc. I/We agree not to hold St. Athanasios Greek Orthodox Church. St. Athanasios GOYA, the Greek Orthodox Archdiocese of America, and the Greek Orthodox Metropolis of New Jersey, their leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred by the subject of this form. Please note that in providing recreational or sporting activities, the Greek Orthodox Metropolis of New Jersey, St. Athanasios Greek Orthodox Church and the St. Athanasios GOYA does not hold itself responsible in any way for any injury that might arise from participation in any such events. Participation is strictly voluntary and carries with it the commonly held understanding that some degree of risk is associated with any and all activities including but not limited to sporting activities, dances and the like. NextPay & Checkout2024-25 GOYA 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. GOYANs must be baptized in the Greek Orthodox faith, and at least 12 years old entering the 7th grade of American school. First year GOYANs need to submit a copy of their baptismal certificate. Registration Fee: $100 per child must be paid online only using this form. Cancellation Policy: A full refund will be paid thru October 31, 2024. There will be no refunds thereafter GOYA Registration Payment *1 Child - $100.002 Children - $200.003 Children - $300.004 Children - $400.00Credit Card Information *CardName on CardSubmit