Kids’ Program Registration Form

Non refundable deposit: $75

 

Please Choose class/camp option(s):

FEES PAYMENT PLAN:


YOUR EMAIL (Must be filled):

STUDENT INFORMATION:

CHILD 1

CHILD 2

CHILD 3

Language(s) spoken at home:

PARENT (LEGAL GUARDIAN) INFORMATION

Father (or Legal Guardian): *

Father's Address

(for field trip or volunteer purposes)

Mother (or Legal Guardian):*

Mother's Address

(for field trip or volunteer purposes)

Are parents living together?

If no, who has custody of child during program hours?


EMERGENCY CONTACT INFORMATION (Other than Parents and Guardians)

Allergies:

Medication or Action Taken:
(i.e. Benadryl, Epipen, etc.)


Additional Notes:

  • Children must be toilet trained (no diapers or pull-ups).
  • Class switches are subject to availability
  • Attendance Policy: Absent students are allowed make up sessions in another class up to 3 classes per term, subject to availability. If the missed class is not available in another day, material and hand outs will be given to the student for self study. Parents are encouraged to revise the missed topics with the students at home.

Please include the following with your registration form:

  • Completed Installment Payment Plan Agreement or full payment
  • $75 non-refundable deposit (in addition to class fees)

Withdrawal

30 days' written notice prior to the first day of the program is required to withdraw from Fairouz Academy programs and have the appropriate fees cancelled. Registration fee and installment payment plan administration fee are non-refundable.

We will NOT provide refunds after the start of the program or if registration is cancelled less than 30 days prior to the start of the program, and no prorating of fees will be provided. Those who opt to pay the full program's tuition in advance will not receive a refund on their payment. Parents and Guardians are expected to continue to pay for their monthly payments for the rest of the program regardless of the child no longer attending.

Release of Liability:

Note this is required.

Photo Release:


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