ICMC Weekend Islamic School 2020/2021
Due to COVID-19 pandemic, there will be some changes.

1. All classes will be online using Zoom
2. Due to absence of lunch, fees will be reduced to $100 (sibling discount will be honored)
3. Only 5-14 years old can be enrolled, no preschool
4. Each student will participate in two subjects, 35 min each. Islamic Studies (including Seerah) and Quran Memorization or Quran Reading.

The start of school is dependent upon the number of registered students.
Sign in to Google to save your progress. Learn more
Parent/Guardian 1 (Full Name) *
Parent/Guardian 2 (Full Name)
Phone Number Parent 1 *
With WhatsApp capability. Teachers will create WhatsApp groups for communication.
Phone Number Parent 2
With WhatsApp capability. Teachers will create WhatsApp groups for communication.
Email Address Parent 1 *
Please provide email address that is regularly checked. School administration will use emails to reach out to parents.
Email Address Parent 2
Please provide email address that is regularly checked. School administration will use emails to reach out to parents.
STUDENT 1
Student 1 First Name *
Student 1 Last Name *
Student 1 Date of Birth *
MM
/
DD
/
YYYY
Student 1 Gender *
Student 1 School Grade *
Student 1 Quran Class *
Student 1 Allergies/Medications/Special Needs
STUDENT 2
Student 2 First Name
Student 2 Last Name
Student 2 Date of Birth
MM
/
DD
/
YYYY
Student 2 Gender
Clear selection
Student 2 School Grade
Student 2 Quran Class
Clear selection
Student 2 Allergies/Medications/Special Needs
STUDENT 3
Student 3 First Name
Student 3 Last Name
Student 3 Date of Birth
MM
/
DD
/
YYYY
Student 3 Gender
Clear selection
Student 3 School Grade
Student 3 Quran Class
Clear selection
Student 3 Allergies/Medications/Special Needs
STUDENT 4
Student 4 First Name
Student 4 Last Name
Student 4 Date of Birth
MM
/
DD
/
YYYY
Student 4 Gender
Clear selection
Student 4 School Grade
Student 4 Quran Class
Clear selection
Student 4 Allergies/Medications/Special Needs
Disclosure
Code of Conduct *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy