Tuition Fee Schedule (All Discounts have been applied to these rates)

Greek School Programs 2017/2018 2- Day Program: Tuesday & Friday Meets Tuesdays and Fridays from 4:30 6:30 pm. This program is structured to offer a wellrounded Greek education. It places a strong emphasis on conversational skills, while offering additional instruction in grammar, reading, writing, history, mythology and culture. Children will be introduced to new lessons on Friday and provided with an enrichment course on Tuesday. This year ALL STUDENTS will participate in Greek Dance on Tuesdays and Music Class on Fridays as we introduce our new rotation schedule. *Greek Dance and Music rotations will take place during the regular Greek School hours of 4:30-7:00 pm. 1- Day Program: Friday Meets Friday from 4:30 7:00 pm. Students will have the opportunity to attend Greek School only one day a week. They will only be offered a music rotation. One-day students will receive the same lesson on Friday, but will not have the follow up enrichment program on Tuesday. Tuition Fee Schedule (All Discounts have been applied to these rates) To be eligible for the Stewardship Discount, a minimum family pledge of $800 for the current year is required. 1 st Child 2 nd Child 3 rd Child 4 th Child Material Fee (discounts do not apply) $1030 $979 $958 $927 $100 $876 $832 $815 $788 $100 Discounted Stewardship Rate 1- Day Program (Friday) $610 $580 $567 $549 $100 1- Day Program (Friday) Discounted Stewardship Rate $519 $493 $483 $467 $100

2017-2018 School Year September 9/8 Welcome Back! Family Fun Night 9/12 First Day for 2- Day Students 9/15 First Day of 1- Day Students Agiasmo Service in Church 4:15 PM 9/29 Curriculum Night/Open House October 10/27 Commemoration of OXI Day November 11/14 No School Parent/Teacher Conferences 11/17 No School Parent/Teacher Conferences 11/21 Thanksgiving Break No classes 11/21-11/24 11/28 2 Day Program Classes Resume December 12/1 1 Day Program Classes Resume 12/17 Nativity Program Following Divine Liturgy 12/22 Last day of Classes 12/26 Christmas Break Begins January 1/9 2- Day Program Classes Resume 1/12 1- Day Program Classes Resume 1/27 Three Hierarchs February 2/11 Greek School Apokreatiko Glendi March 3/20 Progress Reports Issued 3/23 Greek Independence Day Program- 5:30 p.m. 3/26 Spring Break (3/26-3/31) April 4/3 Holy Week/Easter Break (4/3-4/7) 4/10 2 Day Program Resumes 4/13 1 Day Program Resumes May 5/18 Ice Cream Social 5/25 Last Day Dance Classes June 6/1 Graduation- End of Year Program To Be Announced Greek Independence Day Parade (Metropolis) Greek Essay Writing (Metropolis) Christmas Around the World (Metropolis) Greek Letters Calendar/Events TBA

Are you a current Steward of St. Nectarios? Yes No Family s Last Home Address: City/State/Zip: Home Phone: Mother s Mother s Email: Mother s cell Phone: Father s Father s Email: Father s cell Phone: 2017/2018 Registration Form PLEASE PRINT CLEARLY Student s Greek Program (Circle One) Student s Greek Program (Circle One) Student s Greek Program (Circle One) Student s Greek Program (Circle One) Student 1 Gender: M F Birthdate: / / 2017/2018 School Grade: 1- Day Program (Friday Only) Student 2 Gender: M F Birthdate: / / 2017/2018 School Grade: 1- Day Program (Friday Only) Student 3 Gender: M F Birthdate: / / 2017/2018 School Grade: 1- Day Program (Friday Only) Student 4 Gender: M F Birthdate: / / 2017/2018 School Grade: 1- Day Program (Friday Only) A NON REFUNDABLE DEPOSIT $150 PER CHILD IS DUE AT TIME OF REGISTRATION & WILL BE APPLIED TOWARDS TUITION. (Continue on next page)

Tuition Fee Calculation (Please use the Tuition Fee Schedule below to select the rate that applies): Undiscounted Materials fee of $100 per child applies to all programs except for dance. To be eligible for the Stewardship discount, an average family pledge of $800 per year is required. Tuition Fees: Revised 08/07/2017 $ $ $ $ = $ 1st Child 2nd Child 3rd Child 4th Child Total School Material Fee: $ 100 x (number of students) = $ PTO Fee: $ 10 x (number of students) = $ Graduation Fee: $ 50 x (number of students) = $ (2018 Graduates Only) Total Fees = $ Deposit: $ 150 x (number of students) = $ - Payment in fulldiscount payment must be made by September 1, 2017 = $ - Balance = $ Payment Schedule (Please select one): 1 Payment in full due by first day of school 2 Equal payments 1 st payment due by first day of school, 2 nd payment due March 1, 2018 Monthly CREDIT CARD payments Equal Payments will be automatically charged to your credit card on the 1 st of each month from September 2017 to March 2018. Payment type: Check # Cash Credit/Debit Card (please complete the credit card authorization form) Please note, a 3% transaction fee applies to all credit card transactions. You will receive a copy of this form, receipt of payment and the Greek School handbook within 2 weeks of your paid registration fee. We look forward to the 2017-2018 School Year! Registration Information Registration will not be considered Class placement will be evaluated and completed without all required forms and verified by the Greek School and its $150 deposit per student. teachers. Students must be 4 yrs. old by September Students must be 6 yrs. or older for Greek 1, 2017 to enroll in the preschool Dance. program, and at least 5 yrs. old to enroll St. Nectarios reserves the right to change in the Level 1 program. or cancel programs based on minimum registration, class size, and instructor availability. Fees and Tuition Collection Policy $150 per student non- refundable deposit is due at time of registration. $25 per student early registration discount if registered by July 1, 2017. $50 per family discount if paid in full by August 1, 2017. Monthly payment schedule requires recurring/automatic credit card payments.

Recurring charges will be made on the 1 st of each month beginning September 2017 and ending March 2018. All fees must be paid in full by March 1, 2018. A $25 late fee will be charged per month, per child, until the account is current. Refunds for students withdrawn from the program Prior to August 1, 2017 100% minus $150 deposit Between August 1 & December 1, 2017 50% No Refunds for withdrawls after December 2, 2017 Tuition & Fees not paid by March 1, 2018 are subject to collection and collection agency fees. For special needs please contact the church office. I have read the Greek School Tuition & fees collection policy and understand my financial obligation. I agree to the tuition, fees, terms and conditions noted above. Signature: Date: Revised 08/07/2017

Emergency Contact Form / / M F STUDENTS NAME DATE OF BIRTH SEX LEVEL ATTENDING PLEASE LIST ANY KNOWN MEDICAL CONDITIONS OR ALLERGIES: / / M F STUDENTS NAME DATE OF BIRTH SEX LEVEL ATTENDING PLEASE LIST ANY KNOWN MEDICAL CONDITIONS OR ALLERGIES: / / M F STUDENTS NAME DATE OF BIRTH SEX LEVEL ATTENDING PLEASE LIST ANY KNOWN MEDICAL CONDITIONS OR ALLERGIES: / / M F STUDENTS NAME DATE OF BIRTH SEX LEVEL ATTENDING PLEASE LIST ANY KNOWN MEDICAL CONDITIONS OR ALLERGIES: PRIMARY EMERGENCY CONTACTS: Mothers Name Home Phone Cell Phone Work Phone Fathers Name Home Phone Cell Phone Work Phone SECONDARY EMERGENCY CONTACTS: Name Home Phone Cell Phone Relationship Name Home Phone Cell Phone Relationship FAMILY DOCTOR NAME: Phone Number Address

Permissions & Waivers PERMISSIONS AND WAIVERS MUST BE FILLED OUT FOR EACH CHILD REGISTERED AT THE AND SIGNED AND DATED BY THE PARENT/GUARDIAN. Photographs/Videotape I authorize my child s name and likeness whether photographed or videotaped to be used in print, on the St. Nectarios Greek Orthodox Church website or in any other media provided the purpose of such use is for the promotion of benefit of the St. Nectarios Greek School. Yes No Waiver for Participant: I give my child permission to attend the St. Nectarios Greek School (the School ). By signing below, I represent that I (i) have provide full and accurate information to the School about my child, (ii) have read and accepted the terms of the School s current Tuition & Fee Schedule, and (iii) agree to be responsible for the timely payment of such tuition and fees pursuant to the terms and conditions of the same. I also consent to my child s participation in all School programs and indoor and outdoor activities, including walking excursions or field trips, and the use of play equipment, unless I specifically advice the School otherwise in writing. I hereby waive, release and forever discharge any and all claims against the St. Nectarios Greek School, the school, its administrators, employees, teachers, and volunteers, The, its council members, officers, employees, and volunteers for damages and/or injuries to my child, which may arise from participation in the St. Nectarios Greek School programs. AUTHORIZATION TO SEEK MEDICAL/EMERGENCY TREATMENT for a Minor In the event that neither I, nor my spouse, or specified guardian/emergency contact can be reached in an emergency, I give permission to call a doctor or arrange emergency transportation and treatment at the nearest hospital, if such treatment seems indicated and I accept responsibility for any expenses associated with the same. In case of emergency, the school and its staff have my permission to give First Aid treatment. I understand that the school will make every attempt to contact me, my spouse or specified guardian/emergency contact if such an incident should occur. I HAVE READ THIS DOCUMENT AND FULLY UNDERSTAND ITS CONTENTS and have signed it voluntarily of my own free will. I acknowledge that the forgoing includes a release from liability for my child and I knowingly assume any risk of injury of illness. By signing below, I confirm that I have full authority to make the authorizations granted here and that no other party s permission is required. Signature: Date:

Student Dismissal Form Pick Up Authorization 2017/2018 School Year Family Last Phone Number: Fathers Mothers Child/Children enrolled in a Greek School Program: Child s Name Level Attending Other than parents, those authorized for pick- up: Name Relationship Phone Number I, the parent of the above listed child/children authorize the person(s) listed to pick up my child/children from St. Nectarios Greek School. Parent Signature Date

Credit Card Authorization Form Family Phone: Email address: # of students enrolling in Greek School: Name on Credit Card: Billing Address: Credit Card Type: American Express Discover Mastercard Visa Credit Card Number: Expiration Date: CVV#: I authorize to charge my credit card for: Non- Refundable Greek School Registration Deposit of $150 per student. Equal monthly tuition payments beginning September 2017 and ending March 2017 A 3% transaction fee will be added to all credit card transactions. Signature: Date: Revised 08/07/2017