Sunday School Online Registration Form ~ Academic Year 2016-2017
Sunday School for the new Academic Year 2016-17 commences on Sunday September 18, 2016 at 11:00 AM, Insha Allah.
Please submit the registration form online and you can pay the Registration fee in person at the School or mail the payment.
Submit one form for each of the child you will be enrolling in the Sunday School.
Fee for the entire year :
$150 for 1st child
$100 for 2nd child
$50 for 3rd child
No fee for additional children from the same family

School Start Date: Sept 18 (the first Sunday after 'Eid Adha)
Class time: 11 am - 2 pm (Sept 18 - Oct 30, 2016)
10 am - 1 pm (Nov 6, 2016 - March 5, 2017)
Back to 11 am - 2 pm (March 12 - May 21, 2017)

First Name
(Student's First Name)
Your answer
Last Name
(Student's Last Name)
Your answer
Date of Birth (DOB)
Students younger than minimum age (5 years old, DOB: Sept 10, 2011) will be decided by the teacher coordinator case by case to make sure that they can follow teacher's instructions in the class.
MM
/
DD
/
YYYY
Gender
Street address, apt. number
Your answer
City, State Initials, ZIP Code
Your answer
Home phone
Your answer
Cell phone 1
Your answer
Cell phone 2
Your answer
Father's name
Your answer
Mother's name
Your answer
Main Email
Your answer
Alternative Email
Your answer
Does the student have any medical condition that Sunday school should be aware of?
Your answer
Full Name of Emergency Contact
Your answer
Phone of Emergency Contact
Your answer
Names of sibling who are also students in Sunday School
Your answer
SIGNATURE (TYPE YOUR INITIALS)
Your answer
Submit
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