OCIF After School Registration Form
23581 Madero Dr, Suite 101, Mission Veijo, CA- 92691
TEL: 949 595 0480 FAX: 949 595 0484 Email: admin@ocif.org
After School programs that makes a difference
OCIF After School Registration Form
Welcome to OCIF After School Supplements! This is a community after school program where students can come learn Quran recitation, Islamic Studies and form friendships after school 2 days out of the week. The program runs parallel to the local public school districts' calendars with similar holidays including 3 and 4 day weekends, leaving the best time for continuous learning and building friendships and positive relationships and associations with the masjid and muslim community.

For the first semester we are offering Qur'an (Memorization & Recitation), Arabic, and Islamic Studies. More class options like art, tutoring, yoga, & sports will be added based on interest in the next semester.
Days: Tuesdays, Thursdays
Time: 3:30 pm - 5:30 pm

Fall semester: Oct 4th, 2016 - Feb 2nd, 2017
Spring semester: Feb 7th, 2017 - June 8th, 2017

1st child : Per semester (5 months) = $540 by Credit Card/ $525 by Cash or Check

Sibling Discount
2nd Child: Per semester (5 months) = $520 CC / $510 Cash or Check
3rd Child or more: Per semester (5 months) = $500 CC / $485 Cash or Check

For payment, please go to the OCIF office upstairs.

Name of child
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
Required
Grade
Your answer
List allergies if any
Your answer
Name of child 2
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
Grade
Your answer
List allergies if any
Your answer
Mother's name
Your answer
Father's name
Your answer
Guardian's name
Your answer
Phone (Specify if cell or work number)
Your answer
Address
Your answer
Mother's Email Address
Your answer
Father's Email Address
Your answer
Emergency Contact Name 1
Your answer
Emergency Contact Relationship to child
Your answer
Emergency Contact phone number
Your answer
Language spoken at home
Name of sibling attending the program
Your answer
Name of sibling attending the program
Your answer
Name of sibling attending the program
Your answer
List any special needs related to your child
Your answer
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