Illiana Islamic Association Saturday School Registration Form
In order to plan for the upcoming school year, please assist us by completing this online form no later than August 15th.The Monthly tuition will be $50 per student for members of I.I.A and $70 per student for non members.  (The new school year will start on August19th)
Sign in to Google to save your progress. Learn more
Parent 1 First Name  *
Parent 1 Last Name 
*
Parent 1 Phone Number *
Parent 1 Email *
Parent 2 First Name
Parent 2 Last Name
Parent 2 Phone Number
Parent 2 Email
Home Address *
City *
State *
Zip Code *
Student 1 Full Name *
Student 1 Date of Birth *
MM
/
DD
/
YYYY
Was Student 1 previously a Saturday School Student 
*
Student 2 Full Name
Student 2 Date of Birth
MM
/
DD
/
YYYY
Was Student 2 previously a Saturday School Student 
Student 3 Full Name
Student 3 Date of Birth
MM
/
DD
/
YYYY
Was Student 3 previously a Saturday School Student 
Student 4 Full Name
Student 4 Date of Birth
MM
/
DD
/
YYYY
Was Student 4 previously a Saturday School Student 
Student 5 Full Name
Student 5 Date of Birth
MM
/
DD
/
YYYY
Was Student 5 previously a Saturday School Student 
Comments and/or questions
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Illiana Islamic Association. Report Abuse