Application for Admission to Memorization Class/ Aalim Course

Student's Information

Parent Information

AUTHORIZATION/RELEASE:

 

In consideration of accepting the registration in Memorization Class / Aalim Course, on behalf of my dependent/registered student, I hereby release, discharge and agree to hold harmless ISLAMIC CENTER OF DEER PARK its officers, volunteers, administrators, sponsors and other representative from any and all claims, demands, cost, expenses and compensation arising out of or in any way related to any injury or other damage that may result while attending Memorization Class / Aalim Course and its programs.

I acknowledge and agree that it is my responsibility to take proper measures to prevent any incidence resulting from any food allergies, and to notify school administrators of any such allergies, if applicable.

I further acknowledge the receipt of, and agree to the drop off and pickup procedures set forth by the administration of the Memorization Class / Aalim Course. In addition, I understand that these procedures may be modified or new procedures may be introduced during the course of the year, and it is my responsibility to follow these procedures for the safety of my dependents. 

FEE PER MONTH: $500.00 Per Child                                                                                        

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