UWMS

P.O. Box 9

Thornwood, NY  10594

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© 2019

REGISTRATION FORM & PAYMENT DIRECTIONS

Registration is a 2 step process:

 

1. Complete the form below. It will collect basic information about your family. 

2. Submit Payment:

        a. Via PayPal - click here

        b. Via check made out to UWMS. Please specify “UWMS Saturday School” in the memo.
            Checks will be collected during Orientation on Saturday, September 21st

LATE REGISTRATION FEE OF $100 WILL BE INCURRED FOR ALL STUDENTS REGISTERING AFTER SEPTEMBER 15, 2019. 

New Student Registration Form

Father's Name*
Mother's Name*
Primary Email Address*
Primary Cell Phone Number (###-###-####)*
Secondary Email Address
Secondary Cell Phone Number (###-###-####)
Emergency Contact's Name*
Emergency Cell Phone Number (###-###-####)*

Please provide the full name of the person responsible for picking up your child(ren), when parent(s) are not able to:*

Note: The individual must arrive with a valid state-issued ID to present to the UWMS Islamic School teaching staff otherwise the student(s) will not be allowed to leave the UWMS Islamic School premises.

Child 1:  Name and Age (as on 01-September-2019)*
Child 2:  Name and Age (as on 01-September-2019)
Child 3:  Name and Age (as on 01-September-2019)

The following questions are to help us gain better understanding of your child's religious and spiritual knowledge and exposure to Islam. We would appreciate your cooperation in providing us with the information. These questions are required for new students.

Is/are your child(ren) familiar with Arabic? If yes, at what level?*
If you are registering more than one student, please check all that apply for each child.
Please describe each child's level of Arabic proficiency:*
What languages are spoken at home?*
Does/do your child(ren) suffer from any medical condition that would require the attention of UWMS Islamic School's teaching staff, such as asthma, epilepsy, allergies, etc.?*
If you answered "Yes" to the previous question about medical conditions, please explain more in detail:
Does your child have an Individualized Educational Plan (IEP) or, 504 Plan?*
If you answered "Yes" to the previous question about IEP/504 plan, please provide a copy and discuss with Principal (principal@uwms.org).
UWMS is looking for parents/guardians who are interested in volunteering. Please indicate below whether you would like to be contacted about volunteering.*

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