Please enter all numbers without spaces or brackets
Full name in Arabic
Date of birth
Place of birth
Does the student have any medical conditions?
If yes please explain
Does the student take any medications?
Does the student have allergies?
If yes please Explain
Do you speak Arabic at home?
Address if different from student
I will be able to volunteer sometime during the school year
Relationship to student
I hereby give my consent to Al-Huda-Verdun School to use and broadcast any photographs /video/audio of my minor child on the official Al-Huda-Verdun School website and on other official sites: YouTube Channel, Facebook, as well as for media purposes, including promotional presentations and advertising campaigns. In addition, I waive all claims to compensation or damages based on the use of his/her image/voice by the school. I also waive any right to inspect or approve the finished works.
I agree that all such works and any reproductions shall remain the property of Al-Huda-Verdun School, unless otherwise noted.