ICCSC Islamic School registration form
Please fill the form once per child to register for ICCSC Islamic School
Due to liability concerns, ICCSC Weekend school cannot accommodate special needs students
Student Name *
Your answer
Age *
Your answer
Parent/Guardian Name *
Your answer
Address *
Your answer
Phone number *
Your answer
Email Address *
Your answer
Emergency Contact Name *
Your answer
Any Allergy or Health concerns
Your answer
Primary Contact Phone *
Your answer
Secondary Contact Phone *
Your answer
Online classes
Please provide skype ID to include your children in online course Monday to Thursday
Note : $30 per month fee will be charged separately for this course and need to pay directly to the assigned teacher
Skype ID
Your answer
Rules and Regulations
By clicking on submit I agree to ICCSC Islamic School rules and provide consent for my children to participate in all ICCSC Sunday school activities.

ICCSC Rules
https://goo.gl/dU4foZ

Parental consent
https://goo.gl/jr9mbK

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