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ICBC WIS 2017-2018 Level 2
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Student Last Name, First Name
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Student Age
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Parent Name
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Parent Phone #
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Parent Email
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Alternate Parent Phone #
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Alternate Parent Email
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I agree to ICBC terms of Weekend Islamic School (please see link
http://www.icbrushycreek.org/data/forms/disclaimer.pdf
for full details)
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