Student Registration

I here by authorize IIE to administer the following medications to my child in case of emergency *

Parent/Guardian Information

Primary Guardian/Father Name *

Primary Guardian/Mother Name *

Siblings at IIE (List all those who are enrolled at the same time of registration)

Program Enrolled in, Grade (e.g. Hifz/Academics,6th)

Emergency Contact Information

Additional Required Documents

Student Transcripts/Report Card
Student Medical Form
Student Dental From/Waiver
Student Vision From or Waiver