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Burbank Islamic Sunday School
Student Registration Form 2021-2022
(One Form Per Family)
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了解详情
* 表示必填
Email
*
您的回答
Please choose One
*
Returning Family
New Family
必填
Both Parents' Names
*
您的回答
Phone Number (preferably both cell & home)
*
您的回答
1st Student's First Name
*
您的回答
1st Student's Last Name
您的回答
1st Student's Date of Birth
*
年
/
月
/
日
1st Student Public School Grade (2021-2022)
您的回答
2nd Student First Name
您的回答
2nd Student Last Name
您的回答
2nd Student Date of Birth
年
/
月
/
日
2nd Student Public School Grade (2021-2022)
您的回答
3rd Student First Name
您的回答
3rd Student Last Name
您的回答
3rd Student Date of Birth
年
/
月
/
日
3rd Student Public School Grade (2021-2022)
您的回答
4th Student First Name
您的回答
4th Student Last Name
您的回答
4th Student Date of Birth
年
/
月
/
日
4th Student Public School Grade (2021-2022)
您的回答
5th Student First Name
您的回答
5th Student Last Name
您的回答
5th Student Date of Birth
年
/
月
/
日
5th Student Public School Grade (2021-2022)
您的回答
Please share any medical issues, allergies, special needs, learning difficulties, and food restrictions that you think are necessary for us to know. Information will be kept confidential.
您的回答
Please choose
I volunteered every Sunday (full day) during the year 2020-2021
I would like to volunteer for Burbank Islamic Center in future
Total Number of Students Registered
*
您的回答
Registration fee : $ 50 (One time per Household for current year), Monthly tuition fee is as follow :
First kid $60
Second kid $55
Third kid $50
Fourth kid $45
Fifth kid $40
By Continuing to submit your application for registration to the Burbank Islamic Center - Sunday school Program you assume all of the risks of participating and/or volunteering in the Sunday School activity/event and waive, release and discharge the school of any liability.
Please sign and send the Accident Waiver and Release of Liability Form with your kid(s) on the 1st day of the school.
https://www.burbankcenter.org/wp-content/uploads/2021/08/BIC-form.pdf
Burbank Islamic Center - Sunday School Payment for Burbank Islamic Center - Sunday School
https://mxmerchant.com/mxcustomer/d/b8b89cbb-6347-4a8e-bb35-ced4454b009b/v3
Payment through PayPal
https://www.paypal.com/donate/?cmd=_s-xclick&hosted_button_id=5SHS3FRRURKHS
(Please Enter Your Name Below As An Acceptance)
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