IQRA Academy Sunday School 2017-2018 Registration Form
Assalamu Alaikum Dear Brothers and Sisters,

IQRA Academy of the Islamic Association of Cary (Cary Masjid) is pleased to inform you that Registration is now Open for the Sunday School year 2017-2018! Registration deadline is September 3rd, and Space is Limited! We do not recommend waiting to register your children until the deadline is very close because it is very likely that all seats will be full weeks before then.

Late Registration is September 4th until September 10th. Late Fee is $20 per child. Sunday School Registration will be completely closed after September 10th. No students will be enrolled after September 10th for any reason.

We will be holding IQRA Sunday School 2017-2018 for Boys and Girls from September 3rd, 2017 till May 13th, 2018, from 9:30 am — 1:45 pm (Lunch will be provided!). Many fun and educational activities for our children are planned for the coming school year, in addition to Quran, Arabic, and Islamic Studies Classes under supervision of highly qualified instructors. Our children will have Fun and Education within an Islamic Environment.

We will accept students from Pre-K — 8th Grade. Students must be at least 4 years old by September 3rd. Only students who were born before September, 2013 will be enrolled (birth certificates (or any proof of DOB) are required for Pre-K students to verify that they meet the age requirement).

For online registration, please, fill out the required information below and click submit. **Paper Forms are not accepted anymore. Please, fill out this online application for IQRA Sunday School. If you need help on how to complete this online form, please contact us at the information provided below.**

Payment is due at the beginning of each month, or you can pay for the whole year in advance.
One Child: $45 per month; Two Children: $80 per month; Three Children: $105 per month
Or
One Child: $405 per year; Two Children: $720 per year; Three Children: $945 per year

You can pay with your card online by following this link:

https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=R9YPGPT3KSDNW

You can also pay with your card at the kiosk in the masjid (make payment to "IQRA Sunday School"), or you can pay us directly by cash or check. Checks must be made to the "Islamic Association of Cary". You have to put the cash/check in an envelope, and write on the envelope: Sunday School, Parent's Full Name, Student(s) Full Name, and the Month and/or year you're paying for. Please, drop the envelope in the "Donations Box" outside the Musalla (Prayer Hall).

If you have any questions or concerns, please do not hesitate to email us at iaciqrasundayschool@gmail.com

Or contact us at these phone numbers:

Principal Sheikh Abdullah Khadra: (919) 618-5478

For General Information (Text or WhatsApp): (919) 917-6071

We look forward to having your children in the coming school year!

We ask Allah to grant you and your children success and happiness in this life and in the hereafter.

IQRA Academy — Islamic Association of Cary

Email address
Student Information
If you have more than one child, please enter your first child's information here. You will be asked to enter your other children's information in the "Additional Students" section.
Student's First Name
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Student's Middle Name
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Student's Last Name
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Date of Birth
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YYYY
Current School Grade
Parent Information
We would like to add you to the Parents' WhatsApp Group to facilitate communication between parents and school. If you don't have WhatsApp installed on your phone, please download WhatsApp from this link: https://www.whatsapp.com/download/
Street Address
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City
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Zip Code
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Father's Full Name
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Father's Work Phone
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Father's Cell Phone
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Father's Email address
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Mother's Full Name
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Mother's Work Phone
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Mother's Cell Phone
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Mother's Email Address
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Family Home Phone
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Medical History
Physician's Name
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Physician's Phone Number
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Pertinent Medical History
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Allergies
Additional Students
Please, follow this format in typing your additional students information:

(1) Full name (2) Date of Birth (3) Grade (4) Any Allergies? If yes, please specify

Student 2 Information
(1) Full name (2) Date of Birth (3) Grade (4) Allergies
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Student 3 Information
(1) Full name (2) Date of Birth (3) Grade (4) Allergies
Your answer
Student 4 Information
(1) Full name (2) Date of Birth (3) Grade (4) Allergies
Your answer
Student 5 Information
(1) Full name (2) Date of Birth (3) Grade (4) Allergies
Your answer
Authorization of Consent to Treatment of a Minor
I/ We, the undersigned, parent(s) of STUDENTS ENTERED ABOVE, a minor, do hereby authorize the Islamic Association of Cary, IQRA Academy, as agent for the undersigned to consent to any medical examination, x-ray, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable by, and is rendered under the general or specific supervision of any physician and surgeon licensed under the provision of the Medical Practices Act on the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital.

This authorization shall remain in effect for Sunday School's period which begins in September 3rd of the current year and ends in May 13th of the next year, unless revoked in writing and delivered to the Islamic Association of Cary, IQRA Academy.

We hereby give permission for my/our child(ren) to attend the Islamic Association of Cary, IQRA Academy. I give the teachers and school administration permission to take any necessary action in the event of an emergency. We have provided the pertinent medical history and allergies for all students in this form.

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Liability Release
Also, I/ We, the undersigned, agree to save and hold harmless The Islamic Association of Cary, and their respective departments, organizations, boards, commissions, officers, agents, and employees from any liability whatsoever for any harm, personal injury, or property damage which my child or I may cause or suffer arising out of his/her participation in the Sunday School. This release is effective until revoked in writing and delivered to the Principal of the School at the Islamic Association of Cary.
By signing this enrollment contract, I ______ to give permission to the Islamic Association of Cary to take pictures and videos of my child(ren) during school activities for the magazines, flyers, and the school's website and social media.
Dress Code
All students 5th graders and up who attend IQRA Academy of the Islamic Association of Cary (Cary Masjid) should follow the Islamic dress code.

For Girls:

**Note: Hijab may not be obligatory yet for all 5th Grade Girls and up, however, we require it for our students attending any of our programs to learn the Islamic Teachings**

-Hijab (covering the head and the neck)
-Jilbab (not necessarily black), abaya, dresses, or skirts (all must be loose and ankle length unless they are worn over loose fitting pants).
-Pants must be full length and loose fitting.
-Shirts must be loose, long sleeve and must cover the hips at least.
-All parts of the clothes must not be transparent, and you should not be able to see through at all.

For Boys:

-Pants must be full length, relatively loose fitting.
-Shirts should be loose and covering the hips (not tucked into the pants).

Please, know that students will be asked to contact their parents for a change of clothing if they are not dressed appropriately.

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Payment
Would you like to submit a donation to improve IQRA Academy Programs?
Your donation will help improve all IQRA Academy Programs, and provide Financial Assistance to students who can't afford the fees.
Have you paid the Sunday School fees?
Fees are due at the beginning of each month or you can pay for the whole year in advance. You can pay online at: https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=R9YPGPT3KSDNW
Signature
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