Afterschool and Weekend School Registration

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Use the form to register your children for the programs below.

These programs will take place at the Islamic Center of Tennessee (ICT).

Parent Full Name *

Parent Email *

Parent Phone Number *

Home Address *

Emergency Contact *

Please include emergency contact information. Full name and phone number.

Student Full Name and Gender *

Hit Enter to add multiple children at once in this section.

Student Date of Birth *

Type the Student's name and their DOB. Hit Enter to add multiple children at once in this section. (Month/Day/Year).

Student Cell phone

Hit Enter to add multiple numbers here.

Student Email Address

Type the student's name and their email address. Hit Enter to add multiple email addresses here.

Afterschool / Weekend School *

Afterschool activities include Quran, Homework, and Sports. Weekend School activities include Arabic, Quran, and Islamic Studies. Please choose one or both options.

Afterschool (5pm - 8pm). Age 6 and up.

Weekend School (9am - 1pm). Age 5 and up.

Required

Does your child have any food allergies? *

If so, please describe in detail below.

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This form was created inside of Islamic Center of Tennessee.