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Registration form for 2021-2022 Academic Year
Welcome Letter
Student Information
*
Indicates required field
Student Name
*
First
Last
Date of Birth (mm/dd/yy)
*
Gender
*
Male
Female
Grade Level
*
Pre K
Level 1
Level 2
Level 3
Level 4
Level 5
Level 6
Level 7
Level 8
Level 9
Level 10
Level 11
Level 12
Allergies/Health Concerns and Health Care Provider
*
I permit IIE sunday school to display pictures of my child on the iie sunday school website
*
Yes
No
I authorize IIE to administer the following medications to my child in the case of an emergency:
*
Tylenol
Asprin
Midol
Benadryl
Ibuprofen
None of the above
Parent Information
Primary Guardian/Father Name
*
First
Last
Primary Guardian/Father Profession
*
Mother Name
*
First
Last
Mother Profession
*
Email
*
Address
*
City
*
State
*
Zipcode
*
Cell Phone Number
*
Emergency Contact Name
*
First
Last
Emergency Contact Infromation
Phone Number
*
Relationship
*
Submit
School Policy
Home
Registration
Ramadan Radiance
Announcements
Education
Supply List
>
Pre-Level and KG-Level
Grade 1-5
Art Supplies For Girls School
High School and Middle School
Dress Code
Fees
Events
Competitions
Calendar
Elementry School Calendar
Middle & High School Calendar