Weekend School Enrollment Form Weekend School دورة القاعدة البغدادية Name Number of Students: OneTwoThreeFour Five Father's Name Phone Number Email Mother's Name Phone Number Email Home Address First Student Name Date of Birth Age Second Student Name Date of Birth Age Third Student Name Date of Birth Age Forth Student Name Date of Birth Age Fifth Student Name Date of Birth Age Emergency Contact Persons 1 Phone Number Emergency Contact Persons 2 Phone Number Declaration I Agree I hereby authorize Dar Alhuda to take my child to a licensed physician or medical center in the event of emergency in which neither parents can be reached. Dar Alhuda is not responsible for accidentsand injuries that occur to your child in the school premises.
