Al-Furqan School @ IAR
Student Registration Form 2021-2022
(One Form Per Family)
Email *
Please choose One *
Required
Both Parents' Names *
Phone Number (preferably both cell & home) *
1st Student's First Name *
1st Student's Last Name *
1st Student's Date of Birth *
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1st Student Public School Grade (2021-2022) *
2nd Student First Name
2nd Student Last Name
2nd Student Date of Birth
MM
/
DD
/
YYYY
2nd Student Public School Grade (2021-2022)
3rd Student First Name
3rd Student Last Name
3rd Student Date of Birth
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/
DD
/
YYYY
3rd Student Public School Grade (2021-2022)
4th Student First Name
4th Student Last Name
4th Student Date of Birth
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/
DD
/
YYYY
4th Student Public School Grade (2021-2022)
5th Student First Name
5th Student Last Name
5th Student Date of Birth
MM
/
DD
/
YYYY
5th Student Public School Grade (2021-2022)
Please share any medical issues, allergies, special needs, learning difficulties, and food restrictions that you think are necessary for us to know. Information will be kept confidential.
Please choose
Total Number of Students Registered *
Tuition for this year would be: (this is for the entire school year and includes price of books) *
Required
Please make payment of the amount chosen above using this link https://secure.qgiv.com/for/iaor/event/830483/ *
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