Cordoba House Sunday School Program Thank you for your interest in the Cordoba House Sunday School Program! Please complete the form below to register and pay your tuition. If you are human, leave this field blank.Are you registering new or returning student(s)? *New Student(s)Returning Student(s)For which program do you wish to register your child(ren)? *Sunday School Program ($500 per child)Sunday School Program and Wednesday After School Quran and Tajweed Class ($850 per child)Parent InformationFather's Name *Mother's Name *Primary Email Address *Primary Cell Phone Number *Secondary Email AddressSecondary Cell Phone NumberEmergency 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 RegistrationChild 1: Name *Child 1: Date of Birth *Child 2: NameChild 2: Date of BirthChild 3: NameChild 3: Date of BirthBackgroundThe 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, if you are comfortable doing so.What school does/do your child(ren) attend?Who has the strongest religious influence on your child(ren) within your family/household?ParentsGrandparentsAunt or UncleOtherWhere has/have your child(ren) learned about Islam? (Check all that apply.)My child has attended an Islamic Sunday School before for religious instruction on the weekends.A private/Skype tutor who provides religious instruction.My child(ren) learned about Islam from parents and/or familyIf your child(ren) attended another Islamic Sunday School in the past, please provide the name of the school/Institution:Please describe each child's prior experience(s) with Islamic education:How often does your family discuss religion at home?Rarely (only on special occasions)Occasionally (several times per month)Regularly (weekly)Does your family visit/worship in a particular mosque?NoYesIf yes, what is the name of the mosque?Has/have your child(ren) been diagnosed with Attention Deficit Disorder (ADD) or received help for a learning disability?NoYesIf 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 ArabicBeginner - Can identify and name Arabic lettersIntermediate - Knows basic Arabic wordsAdvanced - Able to read Quranic versesNative speakerPlease 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.?NoYesIf 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?Tuition and Optional DonationSunday School Program: I would like to pay my tuition... *OnlineBy checkPay Tuition Online - Sunday School ProgramPlease select the program and number of children you are registering. The Sunday School program only is $500 per child. Please select the number of children you would like to register. Once you submit the form, you will be taken to PayPal to complete your payment.Sunday School Program Only: 1 Child ($500.00)Sunday School Program Only: 2 Children ($1,000.00)Sunday School Program Only: 3 Children ($1,500.00)Pay Tuition By Check - Sunday School ProgramPlease select the program and number of children you are registering. The Sunday School program only is $500 per child. Please make a check payable in the full amount below to Cordoba House.Sunday School Program Only: 1 Child ($500.00)Sunday School Program Only: 2 Children ($1,000.00)Sunday School Program Only: 3 Children ($1,500.00)Sunday School and Wednesday After School Programs: I would like to pay my tuition... *OnlineBy checkPay Tuition Online - Sunday School and Wednesday After School ProgramsPlease select the program and number of children you are registering. The Sunday School and Wednesday Afternoon programs together are $850.00 per child. Please select the number of children you would like to register. Once you submit the form, you will be taken to PayPal to complete your payment.Sunday School and Wednesday After School Programs: 1 Child ($850.00)Sunday School and Wednesday After School Programs: 2 Children ($1,700.00)Sunday School and Wednesday After School Programs: 3 Children ($2,550.00)Pay Tuition By Check - Sunday School and Wednesday After School ProgramsPlease select the program and number of children you are registering. The Sunday School and Wednesday Afternoon programs together are $850.00 per child. Please make a check payable in the full amount below to Cordoba House.Sunday School and Wednesday After School Programs: 1 Child ($850.00)Sunday School and Wednesday After School Programs: 2 Children ($1,700.00)Sunday School and Wednesday After School Programs: 3 Children ($2,550.00)Optional DonationCordoba House would greatly appreciate your generous donations to our mission of providing high quality Islamic education to the American Muslim community. Please select below what fund to which you would like to contribute a donation. Category Total Needed Price per Unit Venue $4000.00 $1000.00 Milad El Nabi (Prophet’s Birthday) $2500.00 $500.00 Supplies (Sunday Class) $500.00 $100.00 Supplies (Wednesday Class) $400.00 $100.00 Pizza (Sunday Class) $1000.00 $100.00 Juice and water (Sunday Class) $350.00 $50.00 Juice and water (Wednesday Class) $350.00 $50.00 I would like to make a donation toward...Venue: $1000.00Milad El Nabi (Prophet's Birthday): $500.00Supplies (Sunday Class): $100.00Supplies (Wednesday Class): $100.00Pizza (Sunday Class): $100.00Juice and water (Sunday Class): $50.00Juice and water (Wednesday Class): $50.00I would like to donate an additional or custom amount:Validation *reCAPTCHA is required.Submit