Child's Information *

Please submit each child's form individually.

First Name

Last Name

Primary Parent *

First Name

Last Name

Phone

(###)

###

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What services are you interested in?

Session 1 (June 7-July 3) Part Time (9-12) $550

Session 1 (June 7-July 3) Full Time (9-3) $750

Session 2 (July 7-31) Part Time (9-12) $550

Session 2 (July 7-31) Full Time (9-3) $750

All Summer (session 1+2) Part Time $1100

All Summer (session 1+2) Full Time $1500

Day Drop In (full time only) $60

Age Group *

Choose which age bracket for your child

Group A (1-2 years)

Group B (3-4 years)

Group C (5-7 years)

Group D (8-11 years)

Arabic Level

Groups C & D only. Choose from the following that best summarizes your child's Arabic level

Beginner (none or some letters)

Intermediate 1 (knows all letters and forms, beginner reading & writing)

Intermediate 2 (reads sentences and applies vowels, can write words correctly)

Advanced (reads and writes sentences, comprehension, some grammar)