Student Registration Form 2023-2024 (One Form Per Family)
Both Parents Names
Your email
Please check one: New FamilyReturning Family
Phone Number:
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1st Student First and last Name:
1st Student’s Date of Birth:
1st Student Public School Grade:
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2nd Student First and last Name:
2nd Student’s Date of Birth:
2nd Student Public School Grade:
3rd Student First and last Name:
3rd Student’s Date of Birth:
3rd Student Public School Grade:
4th Student First and last Name:
4th Student’s Date of Birth:
4th Student Public School Grade:
Please share any medical issues, allergies, special needs, learning difficulties, and food restrictions that you think are necessary for us to know. Information will be kept confidential.
Registration Fee: $50 per student: 1 Student $502 Students $1003 Students $1504 Students $200
Monthly tuition fee is as follow : 1 Student $652 Students $1253 Students $1804 Students $ 240
Name
Email
Phone
Amount
Category —Please choose an option—General FundSchool FundZakatConstruction FundYouth Fund