Arabic School Payment

Number of Children? *1 Child ($270)2 Children ($513)3 Children ($756)4 Children ($999)5 Children ($1,242)

Child 1 Info

Student Name *

Age *

Gender *MaleFemale

Child 2 Info

Student Name *

Age *

Gender *MaleFemale

Child 3 Info

Student Name *

Age *

Gender *MaleFemale

Father Name *

Father Phone *

Father Email *

Mother Name *

Mother Phone *

Mother Email *

Credit / Debit Card *

600 BEDFORD HIGHWAY HALIFAX, NS, B3M 2L8

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