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Sunday School Registration Form 2017-2018
Welcome to another inspiring year of Sunday School! We hope inshaAllah that you and your child can help us accomplish the two goals of our Sunday School: Inspiring our students to love Islam and being proud to be Muslim. With the help of Allah SWT and your support (and reinforcement at home), our students will leave Sunday School as well mannered leaders of the community, enjoining what is right and forbidding what is wrong.
Name *
Last Name, Full Name
Your answer
Age *
Your answer
Grade Level *
Father's Name *
Last Name, First Name
Your answer
Mother's Name *
Last Name, First Name
Your answer
Home Phone Number *
555.555.5555
Your answer
Address *
555 Main St., Atlanta GA, 30008
Your answer
Parents' Cellphone Number *
555.555.5555
Your answer
Emergency Authorization *
I/We authorize WCIC Sunday School staff or designated agent to secure Emergency Medical Care for my child when we cannot be reached at the time of emergency. I/We will be responsible for the medical charges incurred. I understand that my child may be transferred to a nearby emergency facility by public safety officers or staff of WCIC Sunday School.
Your answer
Emergency Contact Name *
Your answer
Relationship *
Choose One
Emergency Contact Phone Number *
555.555.5555
Your answer
List of Allergies *
Please list all things your child is allergic to.
Your answer
List of Medications *
Please list all of your child's medications.
Your answer
Others authorized to pick up your child? *
Please provide names and contact numbers
Your answer
Payment *
A fee of $300.00 is required for every child, to cover the cost of books and lunch for the whole year. Please contact Saleha Taufique at saleha.taufique@gmail.com for financial assistance. You may select more than one option
Required
Rules of Conduct *
I have received a copy of the WCIC School Conduct Rules and understand that the School Conduct Rules will be enforced by WCIC Sunday School staff to ensure the safe and orderly educational environment of the School.
Disclaimer *
WCIC Sunday School conducts educational programs for the benefit of the Muslim community. WCIC Sunday School assumes no responsibility for any type of personal injury or loss of property that, Allah forbid, may occur while at the school.
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