Editing previous response:

Please fix the highlighted areas below before submitting.

Waiting List 2020-2021

Please complete the form below. Required fields marked *

Name of Child:*

Answer required for "Name of Child:"

Child's Date of Birth:*

Answer required for "Child's Date of Birth:"

Father's Contact Informaton:

Father's First Name:*

Answer required for "Father's First Name:"

Father's Last Name:*

Answer required for "Father's Last Name:"

Father's Email:*

Answer required for "Father's Email:"

Father's Mobile Phone:*

Answer required for "Father's Mobile Phone:"

Home Phone:

Answer required for "Home Phone:"

Mother's Contact Information:

Mother's First Name*

Answer required for "Mother's First Name"

Mother's Last Name:*

Answer required for "Mother's Last Name:"

Mother's Email:*

Answer required for "Mother's Email:"

Mother's Mobile Phone:*

Answer required for "Mother's Mobile Phone:"

Home Phone:

Answer required for "Home Phone:"

Home Address:

Street Address*

Answer required for "Street Address"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

Armenian Language:*

Answer required for "Armenian Language:"

Eastern Armenian

Western Armenian

School Presently Attending:*

Answer required for "School Presently Attending:"

Sisters/Brothers Presently Attending Chamlian:

Answer required for "Sisters/Brothers Presently Attending Chamlian:"

References:

Answer required for "References:"

I understand that this is not a registration form, and that it does not guarantee a place at Chamlian Armenian School.*

Answer required for "I understand that this is not a registration form, and that it does not guarantee a place at Chamlian Armenian School."

Agree

PARENT SIGNATURE: *

Type your Full name

Answer required for "PARENT SIGNATURE: "

Today's Date*

Answer required for "Today's Date"

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"