Registration Form for Early Childhood Education
Sadiq School Early Childhood Education program is open to the community for children ages 2.5 to under 5 years old.     
The monthly fee should be paid by the first day of each month of attendance. Additional siblings will get 10% discount. Additional discount and financial aid is available for qualified parents. Please fill this out for each child. 
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Child's Name *
Child's Date of Birth *
MM
/
DD
/
YYYY
Please specify the first day your child will start.  *
Does child have any medical condition that we should be aware? If yes please explain. Otherwise note "No" *
Does your child have any food allergy. If yes, please explain. Otherwise please note "No" *
Child's Home Address *
Father's (Guardian's) Name *
Father's (Guardian's) Phone Number *
Father's/(Guardian's)  Email Address *
Mother's name *
Mother's Phone number *
Mother's Email Address *
Emergency contact name and relation with child *
Emergency contact Phone Number *
Please pick the option for registration *
Payment options: We accept 4 forms of payment; check, credit card, Venmo and Zelle.  *
Any other Comments/Questions
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