Arabic Language Student Registration Form 2022 / 2023

PLEASE NOTE THE FOLLOWING:

1. Please fill out this form for your family and provide ALL requested information.
2. Please note that only children registered with the Sunday School are able to register for this optional class.
3. Arabic Class begins at level 3 onwards. Level 1 and 2 are covered at the sunday school within the Quran class.
3. A decision on fees is still being made and may be charged at a later date.

Full Name (Parent 1)

Email (Parent 1)

This address will receive a confirmation email

Phone (Parent 1)

Full Name (Parent 2)

Email (Parent 2)

Phone (Parent 2)

Address

Emergency Contact Name

Emergency Contact Phone

Child 1

Full Name (Child 1)

Gender of Child 1

Female Male

Child 1 Health Card Number

Child 2 (Optional)

Full Name (Child 2)

Gender of Child 2 Female Male

Child 2 Health Card Number

Child 3 (Optional)

Full Name (Child 3)

Gender of Child 3 Female Male

Child 3 Health Card Number

Child 4 (Optional)

Full Name (Child 4)

Gender of Child 4 Female Male

Child 4 Health Card Number

Child 4 Birth Month

Allergies and / or Medical Conditions

Does/do your child(ren) listed above have any allergies or medical conditions we need to be aware of?

Yes No

If you answered "YES" above, please indicate name of child and allergies and/or medical conditions below.

Arabic Language Student Registration Form 2022 / 2023

Description

Please Fix the Following