Long Island Muslim Society School Registration

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Weekend Islamic School Registration Form 2023-2024

Registration Fee (For full academic year) :

1st child: $500.00

Additional children: $400.00 per child

Please drop off any cash/check payment to Long Island Muslim Society (475 East Meadow Ave, East Meadow, NY 11554). You can also pay online by clicking donate on https://limsinfo.org/ and indicate that its for LIMS School registration.

Feel free to contact us at longislandmuslimsociety@limsinfo.org or shahreen.islam@gmail.com for school specific questions.

Father/Guardian(First and Last Name) *

Mother/Guardian (First and Last Name) *

Address (Street, City, State, Zip Code) *

Home Telephone Number *

Emergency Telephone *

Email Address *

Please indicate how you paid (Online, Cash, or Check) *

Parent Declaration/Waiver *

“We hereby enroll the listed child (ren) below in LIMS and grant our permission for their participation in all activities of the school including field trips. We agree to hold harmless the Executive Committee, the Islamic Center, and their agents from any and all liabilities, claims, injuries, or losses. We are aware of the school policies and agree to abide by them.”

Required

Parent/Guardian Signature (Enter your Full Name) *

Student 1 Name (First and Last) *

Student 1 Date of Birth *

YYYY

Student 1 Gender *

Male

Female

Student 1 Grade in School *

Student 2 Name (First and Last)

Student 2 Date of Birth

YYYY

Student 2 Gender

Male

Female

Clear selection

Student 2 Grade in School

Student 3 Name (First and Last)

Student 3 Date of Birth

YYYY

Student 3 Gender

Male

Female

Clear selection

Student 3 Grade in School

Feel free to add another any other notes/comments

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