Sunday School Registration Father's Last Name Father's First Name Father's Phone Number Mother's Last Name Mother's First Name Mother's Phone Number Father's Email Mother's Email Payment Email Address Line 1 Address Line 2 City Zipcode Emergency Last Name Emergency First Name Emergency Phone Number Child 1 Last Name Child 1 First Name Child 1 Birthdate Child 1 Gender Boy Girl Child 2 Last Name Child 2 First Name Child 2 Birthdate Child 2 Gender Boy Girl Child 3 Last Name Child 3 First Name Child 3 Birthdate Child 3 Gender Boy Girl Child 4 Last Name Child 4 First Name Child 4 Birthdate Child 4 Gender Boy Girl Allergy Information By submitting this form, I acknowledge that Sunday School cost per semester per student will be owed to Al-Rahmah Islamic Center Inc DBA Masjid Jafar and that needs to be paid in advance to reserve the seat at the Sunday School. Proceed to Payment