SVIC Islamic School

SVIC Islamic School

Student/Family Information Update Form
Fees: $450 per child per school year

Payment method:
Please pay in-person at the school. We only accept cash, checks, or credit card.

Parents are encouraged to pay for the whole school year or half-year.
Student Information
Child #1 Name

First NameLast Name
Birth Date

MonthDayYear
Date
Child #2 Name

First NameLast Name
Birth Date

MonthDayYear
Date
Child #3 Name

First NameLast Name
Birth Date

MonthDayYear
Date
Parents' Information
Name of Mother / Guardian

First NameLast Name
Name of Father / Guardian

First NameLast Name
Mother's Email
example@example.com
Mother's Phone Number
Please enter a valid phone number.
Father's Email
example@example.com
Father's Phone Number
Please enter a valid phone number.
Residence Information
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code