The following is the registration form. This must be completed before the students begin their first day 
of classes. Where mentioned, please indicate full, official names. Do not submit form until you have 
thoroughly read the disclaimer.

Father's Name:	Mr.
Mother's Name:	Mrs.
Home Address 1:
Home Address 2:
City:
State:
Zip Code:
Phone Number:
Email Address:
Names of Children Enrolling:
(full names only)	1)	Gender:  Age:
	2)	Gender:  Age:
	3)	Gender:  Age:
	4)	Gender:  Age:

Annual Fees:	One Child  $350
	Two Children  $450
	Three or More Children  $500

*If full payment is inconvenient, you may pay in three equal installments. In case of financial difficulty, 
please discuss with the administration.*

Please indicate any amount you can donate to assist towards scholarships:
a) at monthly intervals $               b) as and when possible $

For questions and clarifications regarding enrollment, please email isuw.islamicschool@gmail.com
.

Liability Disclaimer:
By submitting this form, we confirm that we do not hold the administrators and staff of the school 
responsible in the event of an injury to us or our children due to any cause.

On the first day of school, you will be asked to sign the above statement.