Student Registration

Complete this form to register your child(ren) for the upcoming Saturday School year. Saturday school administration will reach out to all registrants for further instructions.

Please fill this form as accurately as possible.

Parent/Guardian Name (Parent One) *

First

Last

Parent/Guardian Name (Parent Two)

First

Last

Email *

Contact Number *

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Child #1 Name *

First

Last

Child #1 Date of Birth *

Child #1 Public School Grade *

Enter the grade that your child will attend this September.

Child #1 Gender *

Male
Female

Child #2 Name

First

Last

Child #2 Date of Birth

Child #2 Public School Grade

Enter the grade that your child will attend this September.

Child #2 Gender

Male
Female

Child #3 Name

First

Last

Child #3 Date of Birth

Child #3 Public School Grade

Enter the grade that your child will attend this September.

Child #3 Gender

Male
Female

Child #4 Name

First

Last

Child #4 Date of Birth

Child #4 Public School Grade

Enter the grade that your child will attend this September.

Child #4 Gender

Male
Female

List any allergies or medical conditions any of your children may have:

I agree to all terms and policies set forth by ICCC and its administration and staff. I also understand that tuition for all registered students must be submitted prior to any registration being considered valid. *

I agree

Student Registration

Complete this form to register your child(ren) for the upcoming Saturday School year. Saturday school administration will reach out to all registrants for further instructions. Please fill this form as accurately as possible.

Complete this form to register your child(ren) for the upcoming Saturday School year. Saturday school administration will reach out to all registrants for further instructions.

Please fill this form as accurately as possible.

Complete this form to register your child(ren) for the upcoming Saturday School year. Saturday school administration will reach out to all registrants for further instructions.

Please fill this form as accurately as possible.