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IANT QURANIC ACADEMY Re-enrollment 2022-2023
Please complete each item carefully and pay a re-enrollment fee of $100/ child here:
https://myiqa.org/donate
. Your re enrollment will be confirmed only when you submit the form with the payment.
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Email
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Your email
Today's Date
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MM
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DD
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YYYY
Student's name
*
Your answer
Student's grade
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Your answer
Grade enrolling to:
Your answer
Student's name
Your answer
Current level
Your answer
Grade enrolling to:
Your answer
Student's Name
Your answer
Current Level
Your answer
Grade enrolling to:
Your answer
NOT RETURNING
My child will be returning to IQA for the 2022-2023 school year and I will pay enrollment fees of $100.
My child will not be returning to IQA for the 2022-2023 school year.
Not sure at this time (please provide reasons for being unsure at this time)
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Reason for not returning?
Your answer
I hereby:
give my consent for my child to be transported and supervised by staff for field trips and all school functions
do not give my consent for my child to be transported and supervised by staff for field trips and all school functions
give my consent for my name, address and phone number to appear in the school year book and directories
do not give my consent for my name, address and phone number to appear in the school year book and directories
give my consent for IQA to take pictures of my child for advertising, fundraising or any other activities.
do not give my consent for IQA to take pictures of my child for advertising, fundraising or any other activities.
Please read carefully below:
In the event, my child becomes ill or is injured at school and cannot be reached. IANT Quranic Academy is authorized to contact the person(s) listed on Student Emergency Card, or take my child to the physician indicated, or to a hospital and is given consent foe emergency care depending on the severity of the illness or injury. The Academy is not responsible for any emergency care and transportation.
Please fill out the following information only if there is a change:
Father's name
Your answer
Father's Job
Your answer
Business telephone
Your answer
Father's email
Your answer
Father's number
Your answer
Skills Father can volunteer to IQA
Your answer
Mother's name
Your answer
Mother's Job
Your answer
Business telephone
Your answer
Mother's email
Your answer
Mother's number
Your answer
Skills Mother can volunteer to IQA
Your answer
Home Address
Your answer
Home Telephone Number
Your answer
My child may be released to the following person(s) only
Your answer
Relationship to student
Your answer
Phone Number
Your answer
Name
Your answer
Relationship to student
Your answer
Phone Number
Your answer
Local Doctor Name
Your answer
Phone Number
Your answer
Address
Your answer
List health conditions, such as heart disease, diabetes, seizures, asthma, severe food or drug allergies, eye ear problems, chronic illness, etc and any medications student takes.
Your answer
Payment for the re-enrollment
Please make sure you make payment of $100 per child by clicking on the link
https://myiqa.org/donate
. Your seat will not be confirmed unless you make the re enrollment payment.
A copy of your responses will be emailed to the address you provided.
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