Saturday School Registration Form

First Student*
Second Student
Third Student
Fourth Student

Family Information

1st Parent Information*
Primary Contact

2nd Parent Information*
Secondery Contact

Address Information

Home Address *

Payment Information

Credit Card Number *
Expiration Month *
Expiration Year *
CVV *
Registration Fee *

$20


Use this space for any additional information or questions

Fees
  • There is a one time application fee of $20 per family
  • By registering, you are agreeing to sign up for auto pay for the duration of the program
  • $60/month for one child, each additional sibling is $30/month with a max of $150/family - Auto payment required
  • Quran School students get a 20% discount. The discount does not apply to registration fees
  • Any fees already paid to ICK are non-refundable
  • No concessions will be given for missed classes, trips, etc. You are signing up for the entire academic year and will be responsible to pay for the entire year
  • Cancellation requires a written request to academy@ickansas.org

I Agree to ICK Terms & Conditions Below *

Terms & Conditions

Every parent and student must follow the ICK's policies as stated in the ICK Masjid. Beyond that, please make sure you and your children abide by these policies:

Online via Zoom:
  • As Classes will be held online via zoom, we require all students to be ready to join 5 mins before class time. There will be breaks between classes for students to get up and take a bio break, or get something to each or drink at home. However please make sure they rejoin the next class on time.
  • Location & Surroundings: Please also make note of the student's surroundings and make sure nothing personal (family or otherwise) is visible around the child while they are attending their online class. Make sure there is plenty of room for the student to learn comfortably and the room is well lit.
  • Dress Code: Please dress the kids appropriately when they are in class online. We are an Islamic Center and the children will be reading/studying the Quran. Boys are required to wear pants. Girls are required to wear clothing that covers their arms and legs fully and we recommend they wear a head scarf.

If classes are in person/on ICK Premises:

Safety/Pickup/Dropoff: Do not be late dropping or picking up children: all children should be dropped by 10:15am and picked up by Duhr. Parents are encouraged to attend the Duhr Salah with children. School ends at Duhr time therefore ICK Staff will not be responsible after that. If you need to pick your child up earlier than the end of the school, please come to the office to sign the child out.

Parents will be responsible for any damage caused to ICK property by their child/children and shall be required to pay the cost of such damage.

Dress Code: Please dress the kids appropriately either online or on premises. We are an Islamic Center and the children will be reading/studying the Quran and praying with us. Please make sure your children abide by the dress code below:

  • Boys should wear long pants. Shorts are not acceptable
  • Girls should wear loose clothing with an Islamic headscarf
  • Torn clothing is not acceptable
  • Attire of any kind with inappropriate messages, slogans, or symbols is not acceptable
  • Visible undergarments are not acceptable

Electronics and Toys Use: Students are not allowed to bring their toys, electronics (phones, tablets, etc.) to the program. The use of such items is prohibited during program hours. In some cases, teachers, at their discretion, may use electronic means for teaching a specific subject. In that case, the teacher shall provide the medium or device that is needed.

Student Behavior: All students should obey the rules set by ICK Academy and ICK Management. All students are required to behave in class such that teaching and learning is accomplished in the most efficient manner. Constant or prolonged disruptive behavior can result in:

  • Students being asked to leave the classroom
  • Parents being asked to pick up the student from the school
  • Greater than two incidences will result in a conference between the Principal and the student's parents
  • Greater than 3 incidents and the student may be expelled from the school

Any form of Physical or verbal aggression will not be tolerated:

  • Behavior injurious to the physical well-being of others such as inflicting or encouraging others to inflict bodily harm on another person
  • Inflicting verbal (oral or written), comments of a sexual or racial nature that hurt an individual or group of individuals
  • Threatening physical harm, bullying or harassing others
  • Using any form of discrimination

Use of Photo/Image or Video at the Academy

We take pictures or videos of students during the activities of a program for future illustrative purposes and sharing them with the parents and community members.

I hereby grant ICK permission to use mine, or my family members (spouse or children whom I am a legal guardian of) likeness in photographs, video recordings or electronic images in any and all of its publications, including website entries, without payment or any other considerations. I understand and agree that these materials will become the property of ICK and will not be returned. I hereby irrevocably authorize ICK to edit, alter, copy, exhibit, publish or distribute these images for purposes of publicizing ICK's programs or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image. I hereby hold harmless and release and forever discharge the organization from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

ICK General Release of Liability

For child(ren) below 18 years old: As the parent/legal guardian of the minor(s) listed above, I hereby grant permission for my child(ren) to participate in the activities of ICK in the following, but not limited to Saturday Academy, Quran School, Summer School, or any other programs, events or trips. I assume full responsibility for any injuries or damages which may occur to these child(ren), in, on, or about the premises of ICK, or arising out of its activities, whether occurring on the premises of the center or at any other location, and do hereby fully release, indemnify, discharge and hold harmless ICK, its Board, Trustees, members, and all associated with it, including but not limited to teachers, administrators, and volunteers, from any and all claims, responsibilities, liabilities, legal actions or suits, damages or losses of any kind or description, both at law or in equity, arising out of, or in any way connected with, any of the activities.

For adults 18 years and older: I hereby release ICK from any injuries or damages which may occur to me, in, on, or about the premises of ICK, or arising out of its activities, whether occurring on the premises of the center or at any other location, and do hereby fully release, indemnify, discharge and hold harmless ICK, its Board, Trustees, members, and all associated with it, including but not limited to teachers, administrators, and volunteers, from any and all claims, responsibilities, liabilities, legal actions or suits, damages or losses of any kind or description, both at law or in equity, arising out of, or in any way connected with, any of the activities.



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