Student Enrollment Form – Erebuni Armenian School

To enroll student(s), fill out the form below and click the Submit button.

Student

Student's Full Name (English)

Student's Full Name (Հայերեն)

Student's Date of Birth

Any special needs or health considerations?
YesNo

Special needs or health considerations:

Please tell us anything you believe would be helpful for us to know about student:

Home Address

Street 1

Street 2

City

State

Zip

Parent/Guardian 1 (primary contact)

First Name

Last Name

Primary Phone #

Secondary Phone #

Email Address

Parent/Guardian 2

First Name

Last Name

Primary Phone #

Secondary Phone #

Email Address

Emergency Contact if parent/guardian is not available

First Name

Last Name

Primary Phone #

Secondary Phone #

Email Address

Teacher?

I'm a teacher at Erebuni Armenian School.

Tuition & Fees

PER YEAR	Tuition	Discount	Discount Amount	Total Tuition
ONE STUDENT	$700	0%	$0	$700
TWO STUDENTS	$1,400	0%	$0	$1,400
THREE STUDENTS	$2,100	10% Full-Time Students only	$210	$1,890

I give permission to photograph my child for school purposes and/or at school events

It is important to read the school policy before submitting this registration form
I have read and understand the Erebuni School policies and procedures with respect to tuition payments, key points, volunteering, withdrawal and refund, school hours, attendance, dismissal, termination, and I agree to abide by these policies.