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!

The annual tuition is $1,900 for one child. We offer a 10% sibling discount for two or more children being enrolled at the same time. There is a $50 one-time registration fee per new student.

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

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Please select an option below:

I am not a teacher or administrator at the school
I am a teacher or administrator at the school

Payment method

PayPal
Debit/Credit card
I would like to pay by cheque

Parent Information

Father's Name

First

Last

Mother's Name

First

Last

Primary Email Address

Primary Cell Phone Number

Address

Address Line 1

Address Line 2

City

State

Zip Code

Secondary Email Address

Secondary Cell Phone Number

Emergency Contact Name

First

Last

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:

First

Last

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 Name

First

Last

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.

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

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?

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

Credit Date if

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.?

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

Optional Donation

Cordoba House depends on the generosity and fundraising efforts of parents, friends, and community members to continue to sustain its high quality of Islamic Weekend Education Program for the American Muslim community. Our Tuition includes basic costs that cover the rent and our teachers, however all other costs need to be raised.

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