ICM Weekend School - Student Registration Form : Fall 2020-21

ICM Weekend School: New Family Student Registration Form 2024-25

Please fill out this form for new family registration or for adding children to your family account. Please do not submit this form for renewing registration for the returning students. Use the online system at https://icmschool.org/ for payment and completion of registration of renewal for returning students. School administration will follow up for the remaining steps for registration. Questions can be emailed to schooladmin@icomd.org
Note:

Registration are first come first served basis until maximum classroom capacity is reached.
Are you a New Family ( Have not attended ICM weekend school recently)?

YesNo
Returning students do not submit this form.

Classes are already assigned to returning students. Please login to the online system by clicking here and make payment to complete registration.
Name of the Family Member Completing this form *

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary E-mail*
example@example.com
Additional E-mail
example@example.com
Mobile Number*
Home Phone Number
Emergency Contact Name
Emergency Phone Number

	First Name	Middle Name	Last Name	Current Grade Level	Gender	Age (Minimum Age requirement: 5 years old on 09/01/2024)	Date of Birth (No later than 09/01/2019)
Student 1
Student 2
Student 3
Student 4

ICM Weekend School: New Family Student Registration Form 2024-25