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Summer Programs Registration
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Summer Programs Registration
Document Actions
Register online using this form. You can also register during school hours or print out the forms in the folders below and fax them to 301.982.2325. Important Registration Dates: June 13: Registration Deadline.
<br>
Applicant Information
First Name
(Required)
Last Name
(Required)
Gender
(Required)
Male
Female
Age of Student
(Required)
Referred By
(Required)
DOB (mm/dd/yyyy)
(Required)
/
/
Address
Address Line 1
Address Line 2
City
State
Zip
Contact Information
e-mail
(Required)
Home Phone Number
(Required)
Cell Phone Number
Work Phone Number
Parent Information - if applicant is under 18
Father's Name
e-mail
Home Phone Number
Cell Phone Number
Mother's Name
e-mail
Home Phone Number
Cell Phone Number
Emergency Contacts
Name
(Required)
relationship
daytime phone
Name
(Required)
relationship
daytime phone
6 week or weekly option
Select Class
Select the classes for which you are registering. Day Program: The following courses offer a 6 week or a weekly option:
Quran Reading Camp 2008 (ages 5 to 18)
Intensive Hifzh Camp 2008 (ages 8 and above)
Intensive Hifzh Review 2008 (huffazh only)
Select Option
Select six week or weekly option. For weekly classes, please select the week(s) below.
Six Week Option
Weekly Option
Weeks
If you selected a weekly option above, then please select the weeks of attendance.
June 23
June 30
July 7
July 14
July 21
July 28
6 week and no weekly option
Select Class
The following courses are 6 weeks, but do not offer a weekly option:
LA/Math Camp 2008 (ages 7 to 11)
Summer Intensive Arabic (ages 7 and above)
A Hands-On/Minds-On Writing Camp (ages 12 to 14)
SAT Preparatory Course (ages 14 and above)
4 week or 6 week option - Pre-Algebra/Algebra 1 (ages 12 and above)
Select Class
The Pre-Algebra/Algebra 1 Review Course offers 3 options:
Pre-Algebra/Algebra 1 (1st 4 weeks covers Pre-Algebra and 1st 2 weeks of Algebra 1)
Algebra 1 (Last 4 weeks covers Algebra 1)
Pre-Algebra/Algebra 1 – Whole Six Weeks
1 Week (ages 12 and above)
Select Class
The following courses are 1 week courses:
Cross Stitch
Glass Painting
Select Level
Select class level :beginners or intermediate Select age group: youth or adult
Beginners
Intermediate
Youth
Adult
1 Day
Select Class
The following courses are 1 day courses:
Sisters Home Ed: Indo-Pak Cooking Day 1
Sisters Home Ed: Indo-Pak Cooking Day 2
Evening and Weekend
Select Class
The Evening and Weekend Program:
Teen Business – Starting Your Venture Before 20 (ages 14 and above)
Parenting Workshop: Communication Essentials (July 20)
Parenting Workshop: Understanding & Dealing with Youth (August 2)
Parenting Workshop: Building Your Child's Character Effectively (August 3)
Qur'anic Arabic Summer Session (July 14 - Aug 7)
Medical and Other Information - if applicant is under 18 and attending the Day Program
1. Has this applicant ever been tested or screened for: a. Psychological / Emotional Disabilities:
yes
no
If yes, then please explain:
b. Learning Disabilities:
yes
no
If yes, then please explain:
2. Does the applicant have any health concerns such as allergies, asthma, conditions, surgeries, disease, etc.?
yes
no
If yes, then please explain:
3. Does the applicant take any prescription medication on regular basis?
yes
no
If yes, which medicine(s):
4. Does your child need Before/After-Care?
(If yes, please fill out Before/After-Care Form. Additional fees required.)
yes
no
5. Release: I give permission to Dar-us-Salaam Summer Programs to photograph my child for developing promotional/marketing materials for Dar-us-Salaam Summer Programs:
yes
no
Volunteer
Can you volunteer?
We are requesting as parents to volunteer on Wednesdays inside class or on field trips as chaperones. Please select one Wednesday when you can volunteer and indicate also if you can offer a van so we can carpool to take students to the field trips (whenever applicable).
June 25
July 2
July 9
July 16
July 23
July 30
Do you have a van to use for field trips?
(Required)
Can you offer a van so we can carpool to take students if there is a field trip on the Wednesday you chose?
yes
no
Iqamah Times
Oct 12th - Oct 18th
Fajr:
6:30 AM
Dhuhr:
1:25 PM
Asr:
4:30 PM
Maghrib:
10 mins after sunset
Isha:
8:00 PM
Jumuah:
1:15 PM
Oct 19th - Oct 25th
Asr:
4:15 PM
Entire Year 1429 : 1/10/08 - 12/28/08
News
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2008-08-16
BLACK BELT CONFIDENCE available for SISTERS!
2008-07-15
Help the Hungry
2008-06-03
10th Grade Starting Fall 2008
2008-05-15
Change for Change
2007-05-27
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