AICM Sunday school Registration form - 2015

AICM Sunday School - Registration Form (2015-2016)

aicmsundayschool.blogspot.com

Part 1: Parent Information

Father Name- First Name:___________________________ Last Name:________________________

Mother’s Name- First Name: __________________________Last Name:________________________

Home Address: _____________________________________________________________________

                                _____________________________________________________________________

Contact (Whatsapp Notification):

Cell Father: _______________________________ Cell Mother: _____________________________

Part 2: Student Information

Kid	Student Name (First, Last Name)	Date of Birth(M/D/Y)	Gender(M/F)
1
2
3
4
5

Part 3: Fees (select suitable fees)

Yearly payment:

Kid	Year Fees	Books	Donation to school	Total Payment
1	350	+ 50
2	480	+ 90
3	600	+ 120
4	720	+ 150

OR

Or Monthly Payment:

Kid	Monthly Fees	Books (one Time)	Donation to school	Total Payment
1	50	+ 50
2	70	+ 90
3	90	+ 120
4	110	+ 150

Part 4: Declaration:

-          I herby certify that I have received the Parent and student contract and will abide by the contract.

-          AICM SS is not responsible for any injury on school premises or for any children left in school before 10:15am and after 1:30pm.

-          I authorize the AICM SS representative to take my child to a Medical Emergency center in the event of an Emergency in which neither parents are reachable.

Parent Signature: __________________________________________   Date: ____________________