Muslim Children Education & Civic Center

MCECC Sunday School 2011 -2012

Excellent opportunities to introduce your children to Islamic education and ability to read and understand the Quran. 

Registration Form

 

 

Name 1: ………………….…   ……………….…..     …………..………………...........                

                      First                                            Middle                                           Last                         Date of birth                 Sex             Age

 

Name 2: ………………….…   ……………….…..     …………..………………............            

                      First                                            Middle                                           Last                         Date of birth                 Sex             Age

 

Name 3: ………………….…   ……………….…..     …………..………………............

                      First                                            Middle                                           Last                         Date of birth                 Sex            Age

 

Name 4: ………………….…   ……………….…..     …………..………………............                  

                      First                                            Middle                                           Last                         Date of birth                 Sex             Age

 

 

Father’s Name: …………………     …………. . .……      ………………………

                                                           First                                           Middle                                 Last                  Cell phone                                      Email

 

Mather’s Name: …………………     …………. . .……      ……………………

                                                           First                                           Middle                                 Last                  Cell phone                                      Email

 

Father & Mother               Father       Mother          Step-Father    Step-Mother        Other  

……………………….……………………Cell Phone #   (             )            

        Street                                                       City                                   State                            Zip                        

               Home Phone # (              )         -                             Work Phone #  (                )   

---

 Tuition Fee:  ( $50.00 for 1^st child, $75.00 for Two (2) children, $100.00 for Three (3) children, and additional child  is free)

Registration & Books fee:  There will be $30.00 one time fee for registration & welcome folder.

 

I like to pay tuition fee every month            every semester (three month)          annually     

I have financial difficulties, so I like to apply for tuition reduction 25%           50%            75%       

I certify that all information provided above is true to the best of my knowledge.

 

 

Parent’s name: ___________________________ Signature _____________________            Date: ____________