ISAK Sunday School
Email address *
Section 1: Child(ren) Information
First Child (First and Last Name) *
First Child (Date of Birth) *
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Please, list the child’s medical history including allergies and medications need to be taken during school time. Please, write NONE if there is not any. *
Second Child (First and Last Name)
Second Child (Date of Birth)
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DD
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Please, list the child’s medical history including allergies and medications need to be taken during school time. Please, write NONE if there is not any.
Third Child (First and Last Name)
Third Child (Date of Birth)
MM
/
DD
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YYYY
Please, list the child’s medical history including allergies and medications need to be taken during school time. Please, write NONE if there is not any.
Fourth Child (First and Last Name)
Fourth Child (Date of Birth)
MM
/
DD
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YYYY
Please, list the child’s medical history including allergies and medications need to be taken during school time. Please, write NONE if there is not any.
Fifth Child (First and Last Name)
Fifth Child (Date of Birth)
MM
/
DD
/
YYYY
Please, list the child’s medical history including allergies and medications need to be taken during school time. Please, write NONE if there is not any.
Section 2: Parent Information
Father's First and Last Name *
Father's Phone Number (WhatsApp) *
Father's Mailing Address *
Father's Email Address *
Mother's First and Last Name *
Mother's Phone Number (WhatsApp) *
Mother's Mailing Address *
Mother's Email Address *
Section 3: Other Relative or Responsible Parties (In case of your child's illness, we call the numbers in the order listed.
First and Last Name *
Phone Number *
Relationship *
First and Last Name *
Phone Number *
Relationship *
Section 4: Emergency Medical Authorization
Please, read carefully and print your name below.
(Please choose either 1 or 2) *
In case you choose number 2, What action would you like the school to take?
Please, print your name to give us the consent to act upon either 1 or 2 *
Section 5: Waiver of Liability
Please, read carefully and print your name below.
(I grant permission for my child to attend the ISAK Sunday School at the Islamic Society of Akron and Kent (ISAK). I fully understand that participants are to abide by all rules and regulations governing conduct during their time at the school, and follow the Instructions of the ISAK Sunday School staff and officials. In the event of illness or injury, I do hereby consent to whatever x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care and emergency transportation considered necessary in the best judgment of the attending physician, surgeon, or dentist and performed under the supervision of a member of the medical staff of the hospital or facility furnishing medical or dental services. I agree to waive all claims against ISAK and hold ISAK, its officers, directors, staff, agents, volunteers, and employees, harmless from any and all liability or claims, which may arise out of, or in connection with, my child's participation in the) Please, print your name to grant us the permission. *
Section 6: ISAK Membership
Are you an ISAK member? *
Section 7: Tuition and Payment
Section 8: Student Sponsorship
Would you like to sponsor Sunday School students? *
If YES, please provide us with the number of children you would like to sponsor. (1 child $315, 2 children $603, 3 children $873, 4 children $1125, 5 children $1359)
If there is a specific child(ren) you would like to sponsor, please state his/her name below.
Section 9: Applying for Assistantship. ISAK Sunday School is providing this opportunity for those who are in need ofFinancial assistance. ISAK Sunday School Board will determine the needs of individual.
Please indicate below if you need any financial assistance: *
Children’s names attending Sunday school
Father’s Name
Mother’s Name
Father’s Profession
Mother’s Profession
Father’s Income
Mother’s Income
Proof/Proofs of Income
Need Partial Aid?
Need Full Aid?
Signature by printing your name below
If you chose full or partial assistance, please upload the following documents or bring them to the front office. (Proof of Income, Income Tax, Paystubs, Other documents that support your case)
Section 10: ISAK Sunday School 2018-2019
Section 11: Open House Invitation Letter
Section 12: Student Supply List
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