2022 CAC Children Coir Registration

Parent Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Student First and Last Name
• * Does the student have any allergies?

• Fee

  Type	Fee
  Full Year (Fall and Spring)	$400.00
  Fall Semester (Sept. to Jan.)	$200.00
  Spring Semester (Feb. to Jun.)	$200.00

Student Information

You may add a maximum of 4

Custom Information 1

• *

  Publication of Photographs and Films: For the sole purpose of promoting The Center for Arabic Culture (CAC) mission in the community, CAC would like to use photographs and films of its students in CAC events on its website and social media.

  • Yes, I give permission for my child photo or video to be used
  • No, I don't give permission for my child photo or video to be used