Noor Weekend Academy Registration 2017-18
The Admissions to Noor Weekend Academy are handled on first come/first serve basis. You can register students at any time and they will be activated based on space availability. Please review the School Policy (found on the website) before filling this form.
Email address *
What is your child's last name? *
Your answer
What is your child's first name? *
Your answer
What is your child's gender? *
What is your child's date of birth? *
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DD
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YYYY
Does your child have any allergies or medical needs? *
Your answer
I agree to comply to the rules and regulations set by Noor Weekend Academy. I hereby give permission that my child may be given emergency treatment, including First Aid/CPR by a Noor Weekend Academy staff member. I further authorize and consent medical, surgical and hospital care, treatment and procedures to be performed for my child by my child's regular physician, or when that physician cannot be reached, by a licensed physician or hospital when deemed immediately necessary or advisable by the physician to safeguard my child's health and if I cannot be contacted. I waive my right of informed consent to such treatment. I also give permission for my child to be transported by ambulance or aid car to an emergency center for treatment. *
Required
Father's Full Name (First, Last) *
Your answer
Mother's Full Name (First, Last) *
Your answer
Home Phone Number *
Your answer
Cell Phone Numbers
Your answer
Other Email Addresses
Your answer
Home Address *
Your answer
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