Islamic Summer School Enrolment & Registration Form

  • Islamic Summer School Enrolment & Registration Form

    Please provide student details, health info, educational background, summer goals, and family reflections to support your child's Islamic education.

  • Section 1: Student Information

  • Date of Birth*
     - -
  • Gender*
  • Format: (000) 000-0000.

  • Section 2: Emergency & Health Information

  • Format: (000) 000-0000.
  • Relationship to Student*

  • Section 3: Islamic & Educational Background

  • Which Islamic subjects has your child studied before?*

  • Section 4: Permission and consent

    Photo / Video Consent
  • I grant permission for UICA to use photos and videos of my child for educational, promotional, website, social media, and community purposes.*

  • Section 5: Goals for the Summer

  • Section 6: Family Reflection & Parent Engagement

  • Would you be interested in volunteering for the summer school ? Also participating in future parent workshops?*

  • Section 7: Parent Acknowledgement

    Summer School Code of Conduct

  • Parents acknowledge that students are expected to:

    * Respect teachers, staff, volunteers, and fellow students.
    * Arrive on time and attend regularly.
    * Follow Islamic manners (adab) and dress standards.
    * Refrain from bullying, fighting, inappropriate language, or disruptive behavior.
    * Follow all safety instructions.
    * Care for masjid property and classroom materials.
    * Use electronic devices only when permitted by instructors.
    * Participate respectfully in class activities and discussions.


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    Parents acknowledge that they are responsible for:

    * Ensuring their child arrives and is picked up on time.
    * Informing UICA of any medical conditions, allergies, or emergency information.
    * Maintaining respectful communication with staff and instructors.
    * Reinforcing Islamic manners and classroom expectations at home.
    * Reviewing communications sent by UICA regarding the program.

     

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    Attendance Policy

    Parents understand that:

    * Consistent attendance is essential for student success.
    * Excessive absences may affect participation in activities, certificates, or recognition awards.

     

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    Discipline Policy

    Parents understand that:

    * UICA reserves the right to address behavioral concerns through warnings, parent meetings, or other appropriate interventions.
    * Serious or repeated misconduct may result in temporary suspension or removal from the program.

  • Section 8: Agreement

  • *

  • Tuition Payment


    First Child: $300 


    Each Additional Sibling: $100


    Please submit payment via Zelle to:


    UICA85308@gmail.com

  • Section 9: Parent signature

  • Should be Empty: