Rawdatul Ilm Academy Summer Program 2023-24
Rawdatul Ilm Academy 
10501 Success Lane
Washington Township, OH 45458

Please fill out a separate registration form for every child if you are enrolling more than one child.

After submitting the online Registration application, please deposit the registration fee. You can also Zelle at: principal@rawdalearning.com OR submit a check at school office notated as the enrollment/registration fee with the child's name.

Program Dates: 3rd July to 31st July
Timing: 10am to 2 pm

Last Date to Register: 20th June. 
No spot is guaranteed without the fee.

We thank you for choosing Rawdatul Ilm Academy for Summer Program. 

For questions, please contact: 732-692-3034.
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Email *
Student Name *
First and last name
Student Birthdate *
Gender *
Home Address (Home Address, City, State, Zip) *
Current Grade *
Medical Issues or Allergies *
Questions or Comments  *
Ethnicity *
Child will be in the following age group
 *
Father Full Name 
First and last name
 *
Father Cell Phone  *
Father Email Address *
Mother Full Name 
First and last name
 *
Mother Cell Phone  *
Mother Email Address  *
Who is financially responsible for the child?
 *
Which parent receives Summer Program correspondence?
 *
Emergency Contact Person #1 full name
 *
Emergency Contact Person #1 relationship to child
 *
Emergency Contact Person #1 Phone number
 *
Emergency Contact Person #1 Address
 *
Emergency Contact Person #2 Full Name
 *
Emergency Contact Person #2 relationship to child 
 *
Emergency Contact Person #2 phone number
 *
Emergency Contact Person #2 Address
 *
Please note that you need to pay the Summer Program registration fee for your application to be accepted. 
The registration fee is $300. Please pay via check or Zelle: principal@rawdalearning.com.

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