Student Registration YHES School Program Payment Form – V2 c Phase 1 school program payment intake form for YHES. This form collects payer/guardian, student, membership reference, program, and payment details required for processing. Payer / Guardian InformationEnter the parent/guardian or authorized payer information for this student.Payer / Guardian Name(Required) First Last Payer / Guardian Email(Required) Enter Email Confirm Email Payer / Guardian Phone(Required)Relationship to Child(Required)MotherFatherGuardianGrandparentOther Authorized PayerStudent InformationEnter the student details for the school/program payment.Student First Name(Required)Student Last Name(Required)Student Grade /Level (same as in Day school)(Required)Free Intro to Greek School (Ages 4 and under)PreKJKSKGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8High School CreditAdult Greek LearningOtherSchool Year(Required)2026–2027HCCY Membership ReferenceProvide membership details if the family already has an active HCCY membership. Already have an active HCCY membership? Please enter the membership holder details below. No membership? Click here to purchase your HCCY membership. Do you have an active HCCY membership?(Required)Membership may be required separately for school/program eligibility.YesNoNot sureMembership Holder Name(Required)Membership Holder Email(Required) Program / Payment SelectionChoose the school program payment being submitted.Program Payment(Required)Choose one payment option. Only one option can be selected for this submission. Payment plan options should be used only where approved. Free Intro to Greek School PreK / JK / SK Tuition – Pay in Full Grades 1-8 Early Bird Tuition – Pay in Full Grades 1-8 Regular Tuition – Pay in Full Early Bird Payment Plan Deposit High School Credit – Pay in Full Adult Greek Learning Total AmountThis total is calculated automatically from the selected Program Payment and is the amount PayPal should charge. ConfirmationPlease confirm the statements below before submitting payment.Required Confirmations(Required) I confirm I am the parent/guardian or authorized payer for this student. I understand an active HCCY membership may be required separately for school/program eligibility. I understand this payment applies only to the selected student and program listed on this form. I confirm the information submitted is accurate. Payment MethodPayPal CheckoutCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name