2023/24 Arabic In- Person Registration

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*Please fill up application for each child

Please fill up the questions and Please fill up the questions and then click on the link below to pay the tuition.

Please submit a separate form for each student.

After you pay, remember to go back and submit the form. Registration is not complete without submitting this form.

Note: Adult learners can put N/A in the parent's info sections.

Email *

Student Last Name *

Student First Name *

If Under 18, Student month and Year of Birth *

First Parent Full Name *

Second Parent Full Name *

First parent email *

First parent phone number *

Second parent email *

Second parent phone number *

Home Address (Street, City, Town, Zip Code) *

Emergency Contact Name and Phone Number *

List all known allergies. *

Publication of Photographs and Films:

For the sole purpose of promoting The Center for Arabic Culture (CAC) mission in the community, CAC
would like to use photographs and films of its students in CAC events on its website and social
media.

Note: If you have more than one child at CAC, please fill a form for each child.

*

Yes, I give permission for my child photo or video to be used.

No, I do not give permission for my child photo or video to be used.

Registration is no complete without submitting this form

Please scroll down to the button of the page and press the purple Submit button.

Use this link to pay the tuition.

$500/ child student per semester- $1000 for the full year

$550/ adult student per semester- $1050 for the full year

+ (3%) Square online processing fee

Pay via VENMO @cacarabic (to avoid the 3% Square online Processing Fee)

NOTE:

(Check the box below after you pay and remember to submit the form)

Registration is not complete without submitting the form.