School Registration

Islamic Weekend School - ICGC 2024-2025 Full Academic Year

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Parent/Guardian

Spouse/Emergency Contact

Waivers

Students

Payment Information

Parent/Guardian Information

(Fields marked with * are required)

Email *

Confirm Email *

Phone *

First Name *

Last Name *

Address *

City *

State *

Zipcode *

Country *

Household Income Per Year *

Number of people in the household *

I am interested in PTO.

Spouse/Emergency Contact

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Email *

Confirm Email *

First Name *

Last Name *

Phone *

Create a user record for the Portal

Check the box to create a user account for the Spouse/Emergency Contact. They will receive email instructions to access the Portal.

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Waivers

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Parents and Students Code of Conduct

I have read and I agree to the Parents and Students Code of Conduct.

IWS Financial Statement Agreement

I have read and I agree to the IWS Financial Statement Agreement.

Releases

I have read and I agree to the Releases.

Students Information

(Fields marked with * are required)

Student 1

Name:

Gender:

Date of Birth:


. . .

First Name *

Last Name *

Date of Birth *

Must be 5 years old on August 30th, 2024 and they must not be more than 16 years on August 30th, 2024.

Gender *

Public School Grade *

If you do not see a grade that your child attends, the class for that grade in our school is already full.

T-Shirt Size

Food Allergies

Does Your Child Have Any Medical Needs We Should be Aware of? (Optional)

Are There Any Supports or School Accommodations Your Child Needs to be Successful? (Optional)

Notes

Payment Information

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Payment Plan *

Plan	Amount
Plan A - Full Payment	$
Subtotal	$
Total	$

IWS Financial Statement Agreement

I have read and I agree to the IWS Financial Statement Agreement.

Payment Details

Secured Online Transaction

Card Number *

Exp. Month *

Exp. Year *

CVC *

Zipcode *

Cardholder Name *

Billing Details

Same as parent address

(Check the box if the billing details are same as parent information)

Email *

Phone Number *

Address *

State *

City *

If you need any further assistance

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Islamic Weekend School - ICGC 2024-2025 Full Academic Year

Parent/Guardian Information

Spouse/Emergency Contact

Waivers

Parents and Students Code of Conduct

IWS Financial Statement Agreement

Releases

Students Information

Student 1

Payment Information

IWS Financial Statement Agreement

Payment Details

Billing Details

Parents and Students Code of Conduct

IWS Financial Statement Agreement

Releases

You are about authorize $600

Account Exist!