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REGISTRATION FORM
Submit REGISTRATION FORM
I agree with the terms above
Title
*
- - Title - -
Mr.
Mrs.
Miss
Ms.
Dr.
Fr.
Sr.
Br.
Rev.
Mr. & Mrs.
Pastor
Rabbi
Dr. & Mrs.
Mr. & Dr.
Drs.
Rev. & Mrs.
Dr. & Dr.
Rabbi & Mrs.
Senator
Senator & Mrs.
Mr. & Senator
Judge & Mrs.
Mr. & Judge
Cantor
Cantor & Mrs.
Capt.
Capt. & Mrs.
Deacon
Family Last Name
*
Student #1 Name
*
Student #1 Age
*
Student #1 Grade
*
Student #2 Name
Student #2 Age
Student #2 Grade
Student #3 Name
Student #3 Age
Student #3 Grade
Student #4 Name
Student #4 Age
Student #4 Grade
Email Address
*
Home Address
*
Home Phone Number
Mother's Name
*
Father's Name
*
Mother's Phone Number
*
Father's Phone Number
*
Did your child(s) attended Minaret Saturday Academy last year?
*
- - Did your child(s) attended Minaret Saturday Academy last year? - -
YES
NO
If they have, what was their grade level?
Other Information we should know (allergies, etc.) about Student #1
Other Information we should know (allergies, etc.) about Student #2
Other Information we should know (allergies, etc.) about Student #3
Other Information we should know (allergies, etc.) about Student #4
I understand that the tuition is non-refundable, regardless of whether or not my child completes the school session. I understand that if my child is not fully cooperating with the school rules or is endangering other students or damaging school property, then the school administration has the right to enforce the appropriate measures. I also understand that the school is not responsible for any injuries that may occur at the school. I agree with the terms above:
Sometimes we take photographs or videos of children either at school or when they are involved in organized activities away from the school site. Do you give permission to the Minaret Academy Saturday School to take photos or videos of your children?
*
Yes, I give permission for the school to take photos or videos of my children
No, I do not give permission for the school to take photos or videos of my children
For certain grade levels at the Academy, Islamic studies books are given to students for free throughout the course of the year and are expected to be returned by the end of the year. If in case of damage or loss of the book you will have to pay $30 fee to replace the book. By clicking below, I agree that I have read, understood, and agreed to all the terms and conditions of the book fees contract above. I agree with the terms above
Date :
*
Name #1(Emergency contact)
*
Phone #1
*
Relationship #1
*
Name #1(Emergency contact)
Phone #2
Relationship #2
Name #3(Emergency contact)
Phone #3
Relationship #3
Any Custody Info we should know about?:YES/NO SPECIFY:
*
- - Any Custody Info we should know about?:YES/NO SPECIFY: - -
YES
No
OTHER INFO:
Submit