Please enable JavaScript in your browser to complete this form.Note: Registration will begin on September 19, 2020. Payment: Inshallah, we will be conducting classes online for the fall semester and the tuition will be $100. The tuition for the spring semester is due at the start of the next semester. We will send you a reminder when tuition is due. $100 for the fall semester tuition is due at the time of registration. Father’s Name *FirstLastFather's Phone *Father's Email *Mother/Guardian’s Name *FirstLastMother/Guardian’s Phone *Mother/Guardian’s Email *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNumber of your children to register *12345Child 1 *FirstLastChild 1's Date of Birth *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child 1's Gender *MaleFemaleIs Child 1 a returning student? *YesNoChild 2FirstLastChild 2's Date of BirthMM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child 2's GenderMaleFemaleIs Child 2 a returning student?YesNoChild 3FirstLastChild 3's Date of BirthMM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child 3's GenderMaleFemaleIs Child 3 a returning student? YesNoChild 4FirstLastChild 4's Date of BirthMM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child 4's GenderMaleFemaleIs child 4 a returning student?YesNoChild 5FirstLastChild 5's Date of BirthMM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child 5's GenderMaleFemaleIs Child 5 a returning student? YesNoI do give my child permission to be in the official school photos. InitialsBy clicking Submit, you agree to fulfill any requirements, be it financial or procedural, as a parent of my child registered for the upcoming school year. Total Amount to Pay$ 0.00Credit Card *Card NumberSecurity CodeName on CardExpirationMM123456789101112/YY2021222324252627282930MessageSubmit
