Minaret Saturday School

Summer Camp Form

Please read contract below carefully to register, then fill out the boxes below with your information. Arabic Summer Camp Contract: The Minaret Academy Saturday School welcomes and accepts everyone who wishes to register. We are happy to have new students come every year and meet each one of them. However, in certain situations, the Minaret Saturday School reserves the right to decline admission of students and sometimes must take precautionary measures to maintain the welfare of the students. In situations of misbehavior, the student could be suspended from the school. Extreme cases may lead to expulsion. Enrollment Policy: The Arabic Summer Camp Program will begin on 6/24/19 and end on 8/1/19. The tuition will can be split into two payments: the $50 registration fee due on 4/6 and the second payment of $500 (for the six week camp) on the first day of the Arabic Summer Camp (6/24.) If you wish to choose to pay for one week as a trial, you must pay $90 for the week. Tuition must be paid with either cash or check; however, cash is preferable. Students with pending tuition will not be admitted until all dues are cleared. School hours will be from 9:30 AM to 2:00 PM. Students are expected to arrive at 8:25 AM.

I agree with the terms above: *

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. We may also make video, audio, and/or web cam recordings for educational use. Due to the increased use of our school and/or teacher websites, we are ensuring we have up to date photograph consent forms in place for all our students. 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

Emergency contact Who is allowed to pick up your students from school?

Name #1: *

Phone #1: *

Relationship #1: *

Name #2:

Phone #2:

Relationship #2:

Name #3:

Phone #3:

Relationship #3:

Any Custody Info we should know about?: YES/NO SPECIFY:

OTHER INFO: