Muntazim — Application Wizard

Chagrin Valley Islamic School

6909 LIberty Rd, Solon, Ohio 44139, USA

Select an Academic Session *

Choose the academic year for this application.

September 2026 - May 2027

Your school selection determines available grades and programmes in the next steps. You can change this before final submission.

Primary Parent / Guardian

Required — this will be the main contact

First Name *

Last Name *

Email Address *

All communications will be sent here

Confirm Email Address *

Re-type to avoid mistakes

Phone Number *

Cell Number

Address

Address1 *

Address2

Country *

State *

City *

Zip Code*

Add Second Parent / Guardian

Toggle to provide a second parent or guardian's information

Second Parent / Guardian

Optional — additional contact

First Name *

Last Name *

Email Address *

All communications will be sent here

Confirm Email Address *

Re-type to avoid mistakes

Phone Number *

Cell Number

Same as Primary Parent Address

if you need to edit it, please turn off the switch

Address

Address1

Address2

Country

State

City

Zip Code *

Student 1

Subtotal $0.00

Total $0.00

Declaration

<ul><li>I hereby release CVIC and its staff and agents from any and all liability, claims or damages.</li><li>I hereby waive any and all claims or actions on behalf of myself, my heirs, assigns or successors in interest with respect to CVIC and my child(ren) participation in the same.</li><li>I hereby give CVIC permission to photograph or videotape my child while in attendance at the camp for the production of camp materials/media for informational and other appropriate uses.</li><li>CVIC has the right to suspend or dismiss any child for violation of camp policies and/or directives as deemed necessary by Camp administration.</li><li>I hereby give permission for my child to be transported in a vehicle for scheduled offsite field trips.</li><li>CVIC reserves the right to make changes in the program as necessary.</li><li>By submitting the application I, confirm that I have read and fully understand the information provided above.</li></ul><hr>

Payment Settings

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Default Payment Method

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Select Payment Method

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eCheck/ACH

Bank Name

Name on Account*

Account Type *

Account Number *

Routing Number *

Credit or debit card

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Total $0.00

School Selection

Select Grades