St. Ephreim Syriac School        ܡܕܪܫܬܐ ܕܡܪܝ ܐܦܪܝܡ

Student Registration Form 2007 - 2008

                  
Student name:  _____________________________________________

Address:  _________________________________________________

                          
Birth Place: __________________________ D.O.B. _________________

Home Phone Number: ________________________________________

Emergency Telephone Numbers: ___________________________

Parents Work Number (Business): _________________________

Parent’s Name: _____________________       ______________________

                                                 Father                                        Mother

                         
Student Status:
Date Enrolled: ___________         Years at School: __________
Grade started: ___________       Current Grade: __________
Current Status: ___________       
Comments: ________________________________________

                                                                                           
                      Parent Signature_______________________

E-Mail Address:  info@aramaicassociation.org