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CVIC - Sunday Islamic Study Class
Parent information
Parent Email Address
***Valid email address required***
:
Parent Full Name:
Parent Phone #:
Emergency contact information
Emergency ContactName:
Emergency Contact Phone #:
Photography Consent
Photography Consent:
--Please Select--
Yes
No
Child(ren) Information
Fee will be auto calculated based on your children information:
Click "Add new child" button below to add your child(ren)
Child Full Name, age and Allergy information
Total Amount($):
Add new child
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CHAGRIN VALLEY ISLAMIC CENTER - Add/Update Latest Update Section
Child Name
Child Age
Id:
Child Full Name:
Date of birth:
Allergies:
Has your kid attended the class last year?:
-- Please select --
Yes
No
Submit