REGISTRATION-FORM

STUDENT REGISTRATION FORM 2022-23

Please complete the below form to register your children (Pre-K through 12) for the 2022-23 school year. New families may register from Aug 15th.

Click Here for tuition and payment details. First semester/half payment is due by September 20, 2022. $100 Non-refundable deposit due at time of registration (applied towards tuition).

PARENT INFORMATION

Father's Name*

Mother's Name*

Home Address*

Primary Email Address*

Secondary Email Address

Primary Cell Phone Number (###-###-####)*

Secondary Cell Phone Number (###-###-####)

Emergency Contact's Name*

Emergency Cell Phone Number (###-###-####)*

Please provide the full name of a back-up 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.

Are you a new family (not enrolled for at least one semester during the 2021-22 school year)?*

Yes

Are you a UWMS Member (membership dues current or full year's membership will be paid by December 31, 2022)?*

Yes

STUDENT(S) INFORMATION

Child must be 4 years old by December 31, 2022 to enroll.

Child 1: Name, Public School Grade, and Date of Birth*

Child 2: Name, Public School Grade, and Date of Birth

Child 3: Name, Public School Grade, and Date of Birth

Child 4: Name, Public School Grade, and Date of Birth

MEDICAL & IEP INFO

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.?*

Yes

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?*

Yes

If you answered "Yes" to the previous question about IEP/504 plan, please provide a copy and discuss with the school's principal (school@uwms.org).

ADDITIONAL INFO (MANDATORY FOR NEW STUDENTS)

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.

Please rate each child's familiarity with reading Arabic based on the levels below:

Not familiar with Arabic
Beginner - can identify and name Arabic letters
Intermediate - can read basic Arabic works
Advanced - able to read Quranic verse

Please also mention if your child is a native Arabic speaker.

Child 1 - Please describe child's level of Arabic reading proficiency:

Child 2 - Please describe child's level of Arabic reading proficiency:

Child 3 - Please describe child's level of Arabic reading proficiency:

Child 4 - Please describe child's level of Arabic reading proficiency:

What languages are spoken at home?

COVID VACCINATION INFORMATION (OPTIONAL)

It will be helpful for us to know who has been fully vaccinated and would appreciate it if you can share this information.

Your content has been submitted

PARENT/GUARDIAN VOLUNTEERS

UWMS is looking for parents/guardians who are interested in volunteering. Please indicate below whether you would like to be contacted about volunteering.*

Yes, I would like to volunteer at UWMS Islamic Saturday School

Yes, I would like to volunteer at UWMS Library.

Yes, I would like to join the UWMS Parent Teachers Association (PTA).

Yes, I would like to volunteer in other areas: (please specify areas of interest)

No, not interested in volunteering.

I understand that any balance due to UWMS must be paid off to complete enrollment of my child(ren) this coming school year. We have a fee assistance program. Please reach out to the school for further information regarding tuition assistance.*

Registration successfully submitted. Thank you.

Please click here for deposit/tuition payment.

An error has occurred with your submission. Please make sure all required fields (marked as *) are filled out. If you continue to have issues please email info@uwms.org

Yes