NCIS 2019/2020 Registration Form
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Student #1 Name
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Student #1 Date of Birth
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Medical Conditions or Allergies
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Student #2 Name
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Student #2 Date of Birth
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DD
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YYYY
Medical Conditions or Allergies
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Primary Parent/Gaurdian Name
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Primary Parent/Gaurdian Contact Number
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Other Parent/Guardian Name
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Other Parent/Guardian Contact Number
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Preferred E-mail Address
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Emergency Contact Name
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Emergency Contact Number
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The fee for the school year (approximately 30 classes) is $400 per child. Classes will begin Sunday, September 8, 2019. Please note that space is limited and early registration is highly recommended. Cheques should be made payable to Noor Cultural Centre. Please complete the registration form prior to September 8th and bring your cheque(s) on September 8, 2019. Registration forms and payment must be received in order for your child to be ensured a placement. Please check one of the following options for payment *
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