OLD FORM, DO NOT USE ANYMORE        2021-2022 Saint Sophia DC Sunday School GOYA Membership Application
PLEASE EMAIL SAINTSOPHIAGOYA@GMAIL.COM FOR UPDATED REGISTRATION LINK

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Email *
THIS FORM IS OUTDATED, PLEASE CONTACT SAINTSOPHIAGOYA@GMAIL.COM FOR THE NEW FORM *
GOYAN Last Name, First Name *
Individual GOYAN's first year registering? *
Address
GOYAN's email address (if GOYAN doesn't have email, put N/A) *
GOYAN's cell phone (if GOYAN doesn't have cell phone, put N/A) *
GOYAN's Birth Date *
MM
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DD
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YYYY
Current Age
Current Grade
Current Jersey # (if previously on the basketball team). If this is your first year on the team, state that you  need one. Jersey fee's are $55.
School Name and City
I consent AND ALLOW THE SAINT SOPHIA CATHEDRAL GOYA PROGRAM TO USE, PUBLISH and COPYRIGHT my image, PICTURE, PORTRAIT OR LIKENESS and voice RECORDED IN ANY FORMAT at Greek Orthodox Youth Association (GOYA) functions. I understand the use of my image or voice will be used in the context in which it was taken WITHOUT ALTERATIONS, MODIFICATIONS, and DERIVATIONS. I understand that my image MAY be used for a GOYA video, and/or for use in publications such as Saint Sophia Monthly Newsletter, The Orthodox Observer,the Hellenic Times, the website, FOR ADVERTISING AND SIMILAR SUCH PROMOTIONS AND RENDITIONS THROUGHOUT THE WORLD. I have received no consideration for this release. *
GOYAN Electronic Signature *
Parent/Guardian Electronic Signature *
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