SAVE QUR

Learn surah ’AN

TO
EA RLY OT!
OLL R SP memorizatio meaning and
ENR YOU nw
Qur ’an andith stories from
Hadeeth.

ISLAMIC STUDIES
dge and
Learn Islamic knowleith stories
mannerisms along w habas.
of our Prophets and sa

ARABIC
Learn the alphabets, numbers,

2018
and shapes while you master basic
Arabic vocabulary and forms of
speech.

JUNE 4th — JUNE 29th S.To.E .A.M . also

hile
Ages 4-12 ur universe w
ets of and use
Learn the seCcrhildren will learn aboutrts, and
having fun!chnology, Engineering, Ark!
CLOSED ON JUNE 14-15 FOR EID HOLIDAY Science, Te explore how things wo
(tentative) Math to

We offer:
MORNING CARE : 8—10am ($100)
SUMMER CAMP : 10am—2pm
($200) (+ Reg; $50 and Supplies; $50)
Mon-Thurs 10am -2pm Fri:10am -12.30pm
AFTER-CAMP : 2—6pm ($175)

665 Tidwell Rd.

PHONE: 770.558.3500
EMAIL: info@hamzahacademy.com
Alpharetta, GA 30004 WEBSITE: HamzahScienceAcademy.com
 2018 SUMMER CAMP ENROLLMENT FORM
REGISTRATION FEE : $50 SUPPLIES FEE : $50

I WOULD LIKE TO ENROLL MY CHILD/CHRILDREN IN:

(you may choose more than one):
___ MORNING CARE 8—10am ($100)
___ SUMMER CAMP 10am—2pm ($200)
___ AFTER-CAMP 2—6pm ($175)

NAME OF CHILD #1: ________________________________________ D.O.B: ___/____/____

NAME OF CHILD #2: ________________________________________ D.O.B: ___/____/____

(10% DISCOUNT)

NAME OF CHILD #3: ________________________________________ D.O.B: ___/____/____

(15% DISCOUNT)

DOES YOUR CHILD/CHRILDREN HAVE ANY ALLERGIES OR MEDICAL CONDITION(S)?

___NO ___ YES (If yes, give detail below)
___________________________________________________________________________
___________________________________________________________________________

PARENT NAME(s): _____________________________ / ______________________________

ADDRESS: ___________________________________________________________________
PHONE: (_____) ______ - ________ EMAIL: ________________________________________

EMERGENCY CONTACT NAME: _______________________________

RELATIONSHIP: ______________________________ PHONE: (_____) ______ - ________

PAYMENT INFO:
TOTAL: ____________ PAID ON: ___________ METHOD: ____CHECK (# )
BALANCE: _________________ ____CASH ____CREDIT
____PAYPAL