ISAK Sunday School 2019-2020
Email address *
Welcome Letter
Section 1: Child(ren) Information
First Child (First and Last Name) *
Your answer
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. *
Your answer
Second Child (First and Last Name)
Your answer
Second 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.
Your answer
Third Child (First and Last Name)
Your answer
Third 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.
Your answer
Fourth Child (First and Last Name)
Your answer
Fourth 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.
Your answer
Fifth Child (First and Last Name)
Your answer
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.
Your answer
Section 2: Parent Information
Father's First and Last Name *
Your answer
Father's Phone Number (WhatsApp) *
Your answer
Father's Mailing Address *
Your answer
Father's Email Address *
Your answer
Mother's First and Last Name *
Your answer
Mother's Phone Number (WhatsApp) *
Your answer
Mother's Mailing Address *
Your answer
Mother's Email Address *
Your answer
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 *
Your answer
Phone Number *
Your answer
Relationship *
Your answer
First and Last Name *
Your answer
Phone Number *
Your answer
Relationship *
Your answer
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?
Your answer
Please, print your name to give us the consent to act upon either 1 or 2 *
Your answer
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. *
Your answer
Section 6: ISAK Membership
Are you an ISAK member? *
Section 7: Tuition and Payment
* see attached papers below
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)
Your answer
If there is a specific child(ren) you would like to sponsor, please state his/her name below.
Your answer
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
Your answer
Father’s Name
Your answer
Mother’s Name
Your answer
Father’s Profession
Your answer
Mother’s Profession
Your answer
Father’s Income
Your answer
Mother’s Income
Your answer
Proof/Proofs of Income
Your answer
Need Partial Aid?
Your answer
Need Full Aid?
Your answer
Signature by printing your name below
Your answer
If you chose full or partial assistance, please bring to the front office. (Proof of Income, Income Tax, Paystubs, Other documents that support your case)
Your answer
Open House Letter
Calendar
Student Supply List
Tuition and Payment
Submit
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