MCCGP Sunday School Registration

Registration for 2021-22 school year is closed. Please sign-up for our email distribution for more information on the next school year (registration will begin in August insha'Allah)

Our records indicate the following information. Please review and update as necessary. Answer a few questions in the Important Information section, read and agree to release and waiver statements, then sign and submit. YOU NEED TO SUBMIT THE FORM TO REGISTER FOR THE NEW SCHOOL YEAR.

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Please register by providing the following information ...

First Child (Required)

First Name

Last Name

Gender

Male

Female

Date of Birth

What level was this child in last year?

Second Child (if applicable)

First Name

Last Name

Gender

Male

Female

Date of Birth

What level was this child in last year?

Third Child (if applicable)

First Name

Last Name

Gender

Male

Female

Date of Birth

What level was this child in last year?

Fourth Child (if applicable)

First Name

Last Name

Gender

Male

Female

Date of Birth

What level was this child in last year?

Mother

First Name

Last Name

Cell Phone

Email

Father

First Name

Last Name

Cell Phone

Email

Residence

Address

City

State

Zip

Home Phone

COVID Agreement

I agree to screen my child for COVID symptoms including but not limited to fever, chills, sore throat, cough, diarrhea/abdominal pain, headache, muscle or body aches, shortness of breath or difficulty breathing, loss of smell or taste, nausea or vomitting. If any of those symptoms are present, I agree to NOT send my child to MCCGP Sunday School until he/she has recovered completely.

I agree to have my child follow these rules when attending MCCGP Sunday School to help prevent the spread of COVID-19: wear a mask, social distance from others, cover cough or sneeze, wash hands frequently or use hand sanitizer containing at least 60% alcohol, qurantine for 10 days upon returning from domestic or overseas travel.

Release and Waiver Statements

When I leave my child/children with the Muslim Community Center of Greater Pittsburgh (MCCGP) Sunday School Program. I forever release and discharge the MCCGP, all their employees, all their agents, all their members and managers, the staff and volunteers of this program of any liability that may occur during my child's visit/stay.

I AGREE in consideration for my child's participation in all MCCGP services to the following:

I AGREE to release the MCCGP from all claims for money damages

I AGREE to pay any losses, damages, or costs incurred and to hold the MCCGP harmless with respect to claims for harm to my child

I am a parent/guardian of a minor and I consent to the child's participation and AGREE to all the provisions and AGREE to assume all of the obligations of this release on the Child's behalf, I AGREE that the MCCGP as used above (or anywhere on the form) includes all their officials, officers, directors, employees, agents, personnel, volunteers, staff and affiliated organizations, I further AGREE to be bound by all applicable MCCGP rules, terms and provisions of the organization

Field Trip Permssion Statement (if and when applicable)

I have given permission to the MCCGP Sunday School Program to take my child(ren) to all Sunday School field trips. I am aware that sending my child(ren) on field trip days means that he/she/they will be going with the group to the field trip. I am also aware that if I do not want my child(ren) to go to any of the field trips, I will inform the School and keep him/her/them home.

Photo Release Statement

I am aware that the MCCGP will be taking pictures/videos of children during the Sunday School Program. The MCCGP will be using these photos to promote awareness of the program in the presentations, flyers, brochures, and the MCCGP websites and social media. Please indicate below whether you give permission to MCCGP to photograph/videotape you child(ren)

Sign before you Submit

I verify as Allah as my witness that the above information is accurate and complete. I also have read and understood the release and waiver statement, field trips permission statement, and the photo release statement. By typing in your name in the below field you E-Sign your Signature to all of the above information

MCCGP Sunday School Registration

Registration for 2021-22 school year is closed. Please sign-up for our email distribution for more information on the next school year (registration will begin in August insha'Allah)

If you are using a mobile device, make sure you are viewing the Web Version of this form (select Web from the Versions option at the bottom of this page)

Have you registered with us before?

First Name

Last Name

Gender

Date of Birth

What level was this child in last year?

First Name

Last Name

Gender

Date of Birth

What level was this child in last year?

First Name

Last Name

Gender

Date of Birth

What level was this child in last year?

First Name

Last Name

Gender

Date of Birth

What level was this child in last year?

First Name

Last Name

Cell Phone

Email

First Name

Last Name

Cell Phone

Email

Address

City

State

Zip

Home Phone

Emergency Contact Name

Emergency Contact Phone

Are you a current member of MCCGP?

Are you able to pay full tuition?

I agree to support the following activities, if and when applicable, at least once per school year:

I would like to volunteer as: (Check all that apply)

As a parent, I agree to support my child as a substitute teacher as needed, when requested by the head teacher

I understand my role as a parent is to be proactive and engaged with my child to become a strong Muslim. I pledge to:

I AGREE in consideration for my child's participation in all MCCGP services to the following:

Field Trip Permssion Statement (if and when applicable)

Photo Release Statement

Signature (type your full name)

Today's Date