Forms

REGISTRATION FORM

Home
REGISTRATION FORM

Submit REGISTRATION FORM

I agree with the terms above

Title *

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? *

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: *

OTHER INFO: