Cordoba House Sunday School Program: New Student Registration

Cordoba House Sunday School Program: New Student Registration

Thank you for your interest in the Cordoba House Sunday School Program! Please use the form below to register your children for the Cordoba House Sunday School.

The form below will collect basic information about your family, as well as calculate your tuition amount and the amount of any donation you decide to contribute. You may complete your tuition and donation payment via PayPal.

Please note: It is highly recommended that you complete and submit this form on a laptop or other computer, not a mobile device.

New Student Registration Form

Tuition and Registration Options

Pay Tuition Online

Register for the upcoming 2024/2025 Sunday School year (September 22, 2024 – June 22, 2025).

The annual tuition is $1,900 for one child. We offer a sibling discount for two or more students ($50 annual discount for 2nd child, $100 annual discount for 3 or more children).

If you wish to pay tuition by check or installments, please select “I would like to pay by check or installment” from the drop-down menu(s) below and complete the rest of the form.

If you are Cordoba House faculty or staff, please select that option below.

Optional Individual and Small Group Sessions

Cordoba House also offers private individual and small group online sessions in Quran and Islamic studies. 10 sessions are offered at the cost of $500 per student. Each session is 45 minutes long. These sessions are subject to availability. Please select below how many students you would like to enroll in these supplemental sessions. You may also contact our admin at ea@cordobahouse.com for more information.

If you Opt to Pay Tuition by Check or in Installments...

If you wish to pay tuition by check or installments, please select “I would like to pay by check or installment” from the drop-down menu(s) above and complete the rest of the form below. Then, please email ea@cordobahouse.com to calculate your tuition costs in the full/partial tuition amount.

Parent Information

Father's Name *

Mother's Name *

Primary Email Address *

Primary Cell Phone Number *

Mailing Address *

Apt, suite, etc.

Country

City

State

Zip code

Secondary Email Address

Secondary Cell Phone Number

Emergency Contact Name *

Emergency Contact Phone Number *

Please provide the full name of the person responsible for picking up your child(ren), when parent(s) are not able to: *

Note: The individual must arrive with a valid state-issued ID to present to Cordoba House teaching staff or the student(s) will not be allowed to leave the Sunday School premises.

Student Registration

Child 1: Name *

Child 1: Date of Birth *

Child 2: Name

Child 2: Date of Birth

Child 3: Name

Child 3: Date of Birth

Background

The following questions are to help us gain better understanding of your child's religious and spiritual knowledge and exposure to Islam. We would appreciate your cooperation in providing us with the information. These questions are required for new students.

How often does your family discuss religion at home? *

Rarely (only on special occasions)

Occasionally (several times per month)

Regularly (weekly)

Has/have your child(ren) been diagnosed with Attention Deficit Disorder (ADD) or received help for a learning disability? *

Yes

If you answered "yes" to the previous question about learning disabilities, please explain in more detail:

Is/are your child(ren) familiar with Arabic? If so, at what level? *

If you are registering more than one student, please check all that apply for each child.

N/A - Not familiar with Arabic

Beginner - Can identify and name Arabic letters

Intermediate - Knows basic Arabic words

Advanced - Able to read Quranic verses

Native speaker

Please describe each child's level of Arabic proficiency: *

What language(s) are spoken at home? *

Does/do your child(ren) suffer from any medical condition that would require the attention of Cordoba House's teaching staff, such as asthma, epilepsy, allergies, etc.? *

Yes

If you answered "yes" to the previous question about medical conditions, please explain in more detail:

What would you like your child(ren) to achieve by attending the Cordoba House Sunday School? *

Optional Donation

I would like to make an optional donation in the amount of...

Cordoba House depends on the generosity and fundraising efforts of parents, friends, and community members to continue to sustain the high quality education we provide for our children. We would greatly appreciate your generous donations to our mission of providing high quality Islamic education to the American Muslim community. Our Tuition includes basic cost for our qualified and trained educators. Please consider donating to a service below.

If you would like to donate by check, please leave the options below unselected, complete and submit the form, and then email ea@cordobahouse.com.

$1,000

$500

$250

$100

$50

$25

Parent/Guardian Volunteers and Photography Consent

Cordoba House is looking for parents/guardians who are interested in volunteering! Please indicate below whether you would like to be contacted about volunteering.

Please... *
Contact us about parent/guardian volunteer opportunities
Do not contact us about parent/guardian volunteer opportunities

Photography Consent and Release

Cordoba House uses photos and videos of Sunday School students in order to promote the Sunday School program. Please indicate below whether you consent to Cordoba House using images of your child(ren) for promotional purposes.

Please select... *
Yes, Cordoba House may use photos/videos of my child(ren) in promotional materials.
No, Cordoba House may not use photos/videos of my child(ren) in promotional materials.

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