School Registration Form - Iswa printable pdf download

School Registration Form - Iswa

Islamic Society of the Washington Area

School Registration Form

Saturday Islamic School

Date: ________________________

Parent Information:

Name: __________________________________________________________________

Address: _________________________________________Apt. ___________________

________________________________________________________________________

Home Phone: _____________Cell Phone: _____________Work Phone______________

Student Information:

Name

Date of Birth

Class

__________________________

_______________________ ______________

__________________________

_______________________ ______________

__________________________

_______________________ ______________

__________________________

_______________________ ______________

_________________________

_______________________ _______________

__________________________

_______________________ ______________

Emergency Contact Information:

Name: ________________________________________________________________

Phone 1: ________________________

Phone 2 __________________________

Fees:

$100 per child (10 months)

Enrollment Date:________________

ISWA Record

Amount Paid

Date

Check#

Cash

___________

_____________

__________

School Registration Form - Iswa