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Registration

PLEASE NOTE :

The MHA program is now full for this 2023-24 school year. If you would like to register your child(ren), please note that their name(s) will be placed on a waiting list should space become available. Please complete the registration form only at this time; do not make payment. Thank you.

MHA Greek School Year 2024-25

Thank you for choosing the Mississauga Hellenic Academy (MHA)

for your child's Greek language learning school.

For the 2024-2025 Greek school year, classes will begin on Sat. September 21st, 2024.

The MHA 2024-25 Greek school year will be from

Saturday, September 21st, 2024 to & including Saturday, June 14th, 2025.

MHA's maximum class size is 12 students per class.

It is important to register early to secure your child(ren)’s place in the class.

Καλή Σχολική Χρονιά σε ΄Ολους!

Payment

Please click HERE to be redirected to Prophet Elias' online store. When checking out, please use the same email as your confirmation email in this form. When your payment is submitted, check your email for an order number and return to this form.

THE REGISTRATION FORM WILL BE VOID WITHOUT INPUTTING YOUR ORDER NUMBER BELOW!

Payment has been made*

Order number*

Student & Parent/Guardian Information

STUDENT*

First Name

Surname

School Grade in 2024/25

Greek Class Level

Student's Date of Birth*

day

/

month

/

year

PARENT(S)/CAREGIVER(S)*

First Name

Surname

Phone #

Email

Parent 1

Parent 2

Email address for confirmation email:*

Address information*

Street Address City State / Province / Region Postal / Zip Code Country

Student Media Release Consent

Part 1 - Events

I hereby agree and give my permission for the Mississauga Hellenic Academy (MHA), Ελληνικό Σχολείο / Greek School Program and/or partners to record, film, photograph, audiotape or videotape our/my child’s name, image, student work, and performance (hereinafter collectively referred to as “Works”) and to display, publish or distribute these Works for the purpose of publishing, posting on the website, posting in schools, posting on social media sites and/or for broadcasting on television or radio as determined by the MHA Organizing Parent Committee. I hereby waive any right to approve the use of these Works now or in the future, whether the use is known to me or unknown, and I waive any right to any royalties related to the use of these Works. I understand that the Works may appear in electronic form on the internet or in other publications outside of the MHA’s control. I agree that I will not hold the MHA responsible for any harm that may arise from such unauthorized reproduction.

Events*

Please mark this box if you AGREE that your child may participate in recorded MHA school events and MHA hosted events as described above. (See Part 2 below)

Please mark this box if you DO NOT WISH your child to participate in recorded MHA/school events and MHA hosted events.

Part 2 - Media Specific

I also understand that external media organizations may attend school events. I give permission for our/my child’s name, image, student work, and performance to be photographed, filmed, audio-taped or videotaped for the purpose of being published and/or broadcast on-line, on television or radio.

Media Specific*

Please mark this box if you AGREE that your child may participate in media events that may be published or broadcast by organizations external to the MHA.

Please mark this box if you DO NOT WISH your child to be photographed, filmed, audio-taped or videotaped at media events.

Understand content*

I have read this Student Media Release Consent Form and I fully understand the contents and meaning of this release. I understand that I am free to contact the Principal/Site Supervisor with any questions regarding this release.

Medical Information

The collection and retention of the information requested on this form is authorized and governed by the Ontario Education Act and the Municipal Freedom of Information and Protection of Privacy Act. The following information will be helpful to the teacher in making your child/ward comfortable and safe.

Family Physician's Name

Title

First

Last

Family Physician's Phone Number

Ontario Health Card #*

Medical Conditions:

Diabetes

Digestive upsets

Ear, nose, throat infection

Dislocated shoulder, swollen/painful joints, joint disability

Fainting spells

Feet or leg problems

Hemophilia/bleeding disorders

Heart problems

Hernia(s)

Current or history of head injuries

Migrane

Rash

Recent illness or operation

Rheumatic fever

Seizures

Sleepwalking

Urinary infections

Other

If other is checked, list the condition(s) here

Please provide details of usual treatment for each of the conditions indicated

Please explain if your child/ward has any medical condition that requires any modification of his/her program

PLEASE LIST ALL KNOWN ALLERGIES TO THE FOLLOWING:

Food Allergies

If foods are life-threatening, please explain the symptoms and the treatment:

Medication Allergies

Other Allergies (e.g., bee or wasp stings, environmental allergies)

Has your child suffered any serious allergic or asthmatic reaction? *

Yes

No

If so, please provide details, including the type and severity of reaction:

Has a doctor prescribed an Epi-Pen for your child?*

Yes

No

Has a doctor prescribed an inhaler for asthma?*

Yes

No

Has a doctor prescribed an inhaler for any other reason?*

Yes

No

DIETARY RESTRICTIONS

Please list any foods your child should not eat for medical, dietary, or religious reasons

MEDICATION

Does your child/ward take prescribed medication on a regular basis?*

Yes

No

If yes, please specify

GENERAL

Does your child wear or carry medical alert identification (e.g., bracelet)?*

Yes

No

If yes, please specify what is written on it

Does your child have any other relevant medical condition that will require modification of the program?*

Yes

No

If yes, please explain

Does your child have any special fears or conditions (e.g., anxiety, bed-wetting, and nightmares), the knowledge of which will allow the teacher to make the student more relaxed?*

Yes

No

If so, please explain

Should it become necessary for my child/ward to have medical care, I hereby give the MHA teacher permission to use her/his best judgment in obtaining the best of such service for my child. I also understand that in the event of such illness or accident, I will be notified as soon as possible.*

I consent

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Dear Parents,

Thank you for your interest in registering your child(ren) in the MHA Greek Language School program.

Registration for the upcoming 2025-26 MHA Greek school year will begin on Monday, June 2nd, 2025.

Please check this website at that time to register your child(ren) for the new school year.

Thank you for your interest in the MHA Greek school program.

Please contact us should you have any questions.

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