2025-2026 Ihsan Academy: General Program

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Ihsan Academy is pleased to offer our Weekend School for young Muslims, ages 5 to 17. Held every Saturday, this program is designed to enrich your child’s understanding of Islam in a supportive and engaging environment.

Form instructions:
Please use the below form to register your Students for the Ihsan Academy General Program. For each additional Student, please use the 'Add another Student' button at the end of the Student section.
For additional Emergency Contacts, please use the 'Add another Emergency Contact' button.

Please be advised you will be billed immediately for the first month of the program, and not billed for the last month of the program.

For any questions, please contact ihsanacademy@icpcnj.org

Guardian Information

First Name

Last Name

Phone

Confirm Email

Gender

Guardian Address

Address Line 1

Address Line 2

City

Country

State

Postal Code

Student Information

First Name

Last Name

Gender

Birthdate

Same address as guardian?

YesNo

Address Line 1

Address Line 2

City

Country

State

Postal Code

Health & Safety

We ask that ALL information is disclosed to our nurse on this form PRIOR to the program to ensure the safety of your child. Withholding medical history is cause for being sent home from the program.

Does your child have any allergies?

Yes

Please list them below, including severity and Epipen requirements:

Does your child have any dietary restrictions?

Yes

Please list them below:

Does your child have an IEP (Individualized Education Plan)?

Yes

We do our best to accommodate Students as best as we can. Please take the time to disclose any special needs, requirements, or considerations our counselors and faculty should know about your child to ensure they have the safest and best experience possible:

Cost

Count

Emergency Contacts

Emergency Contact Details

First Name

Last Name

Phone

Relationship

Attendee Type

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Subtotal

Review

Currently you have:

Students selected for a monthly subtotal:

This price per month does not reflect the 5% discount for families with more than one child registered - you will see that in your statement.

Payment Information

Name on Card

Card Number

Code

Billing Email

Please do not use your browser's back button or press Submit more than once to avoid multiple charges.