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Excellence in Education, Rooted in Faith

Guidance Islamic School - 2024 to 2025 Registration

Please fill out the following details for all of your students. Upon review, we will be in touch with you regarding next steps.

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Name

Email

City

Home Address

Zip Code

Parent/Guardian’s Full Name

Parent/Guardian’s Cell Phone

Parent/Guardian’s Email

# of Students

Student Name #1

Birthdate

Entering Grade

Gender

Male Female

Allergies

Yes No

Student Name #2

Birthdate

Entering Grade

Gender

Male Female

Allergies

Yes No

Student Name #3

Birthdate

Entering Grade

Gender

Male Female

Allergies

Yes No

Student Name #4

Birthdate

Entering Grade

Gender

Male Female

Allergies

Yes No

Student Name #5

Birthdate

Entering Grade

Gender

Male Female

Allergies

Yes No

Student Name #6

Birthdate

Entering Grade

Gender

Male Female

Allergies

Yes No

Contact Info

p:

e:

[email protected]

a:

6620 Network Way Indianapolis IN 46278

SubhanAllah - We have received your information, and we will be in touch with you prior to the school year for additional Information