Sunbury Islamic Center,
Al Huda School
2015-2016 Registration
Form
Please Print Clearly!
Father’s
Name:
___________________________________________
Mother’s
Name
___________________________________________
Home
Phone: _____________________________________________
Cell
Phone:
_______________________________________________
Address:
_________________________________________________
_________________________________________________________
Email Address: ___________________________________________
Email Address: ___________________________________________
(If
there is bad weather or another reason to cancel school, we will make EVERY
attempt to call, email, & text you the night before or worse case, that
morning, so please answer your phone!
Or, Allaah forbid, we may need to call you if there is an emergency when
your children at school.)
Child
#1
Name: ________________________________________________
Age: __________________________
Date
of Birth: ___________________
School
Grade: ___________________
Child
#2
Name:
________________________________________________
Age: __________________________
Date
of Birth: ___________________
School
Grade: ___________________
Child
#3
Name:
________________________________________________
Age: __________________________
Date
of Birth: ___________________
School
Grade: ___________________
Child
#4
Name:
________________________________________________
Age: __________________________
Date
of Birth: ___________________
School
Grade: ___________________
Additional
children on other side, please.
If
any of your children have any health condition or food allergies, please list
below:
