Weekend School Registration - Sabeel Muslim Youth & Community Center

Student Information

Name

First

Last

Gender

Date of Birth

Age

Does your child memorize 3 Juzu’ of Quran or more?

Yes

No

Allergies & Medication

Add Remove

Parent/Guardian Information

First Parent Full Name

Second Parent Full Name

First Parent Phone #

Second Parent Phone #

First Parent Email

If you’re a teacher in the school, please use your email here.

Second Parent Email

Additional Information

Which days of the weekend?

Saturday

Sunday

Saturday & Sunday

Do you accept to include your child(ren) in any videos or photos taken by the school staff?

Yes

No

What are the languages spoken at home?

What is the language preferred by your child?

Terms & Conditions

We have developed a parent & student handbook which outlines the school’s policies. It is mandatory that you read this handbook and acknowledge that you’ve read it prior to submitting your registration.

Parent and Student Handbook

I acknowledge that I have read the “Parent & Student Handbook” and agree to all the terms & conditions outlined in it.

Registration Fees

Fees

$/child

Number of Children

Total Registration Fees

$

Note: This is a one time payment

Monthly Payment

1st Child Fees

$/day

2nd Child Fees

$/day

3rd Child Fees

$/day

4th Child Fees

$/day

Total Monthly Fees

$/month

Total Monthly Fees

$/month

Note: This will be an automated recurring monthly
payment from September 2023 to May 2024

Credit Card

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