ISM Noor Academy Daycare Enrollment Form
The Islamic Society of Michiana, whose vision is “to see a vibrant, well-educated, unique, moderate American Muslim community inspired by Qur’anic principles and prophetic ideals,” has initiated the development of a registered daycare ministry, ISM Noor Academy.

Mission: The mission of ISM Noor Academy is “to provide the tools to promote lifelong learning in an Islamic environment that inspires noble character and righteous leadership.”

Ages: ISM Noor Academy serves children ages 3-5. Children must be toilet-trained.

Hours of operation: Monday-Friday - 8:00 am – 5:00 pm

Admission Policies
The child care ministry shall accept only children who are at a stage of growth and development which enables them to benefit from its program, and for whose age level the daycare is staffed and equipped to provide care.

Summer break
ISM Noor Academy operates from August 31 to May 31. Summer programs may be offered. Please indicate if you are interested in summer programs for your child.

Parent Information
Please provide the mother's First and Last name.
Your answer
Please provide the father's First and Last name.
Your answer
Please provide the guardian's First and Last name. (if applicable)
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
*
Phone Number
Your answer
Alternative Phone Number
Your answer
Best contact email
Your answer
What are you most interested in?
What are you most interested in?
Are you interested in Summer Programs?
Which of the following would you feel comfortable using as a method of contact? (Check all that apply)
Child Information (If you have multiple children, start with the oldest)
Child's First and Last Name
Your answer
*
Child's Date of Birth
MM
/
DD
/
YYYY
What are your child's interests? (Check all that apply)
Is your child toilet trained?
Does your child have dietary restrictions or allergies? (Check all that apply)
Do you have another child to enroll?
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