26-27 Before & After Care Club Enrollment Form

26-27 Before & After Care Club Enrollment Form

26-27 Before & After Care Club Enrollment Form

Starting in the 2026–2027 school year, Oklahoma Islamic Academy will offer a structured Before & After Care Program for families who need extended care outside of regular school hours. To support staffing and planning, drop-in care is no longer available. Families must enroll in advance.
Parent/Guardian Full Name*

First NameLast Name
Parent/Guardian Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Student #1 Full Name*

First NameLast Name
Student #1 Grade *
Annual Enrollment - $2,000 per year/per child (Unlimited before & after care for the school year) (Best value - equivalent to $200/month)Monthly Enrollment - $250 per month/per child (please select month(s) below)
August 2026September 2026October 2026November 2026December 2026January 2027February 2027March 2027April 2027May 2027
Student #1 Total
- Student #2 Full Name
  
  First NameLast Name
- Student #2 Grade
- Annual Enrollment - $2,000 per year/per child (Unlimited before & after care for the school year) (Best value - equivalent to $200/month)Monthly Enrollment - $250 per month/per child (please select month(s) below)
- August 2026September 2026October 2026November 2026December 2026January 2027February 2027March 2027April 2027May 2027
- Student #2 Total
- Student #3 Full Name
  
  First NameLast Name
- Student #3 Grade
- Annual Enrollment - $2,000 per year/per child (Unlimited before & after care for the school year) (Best value - equivalent to $200/month)Monthly Enrollment - $250 per month/per child (please select month(s) below)
- August 2026September 2026October 2026November 2026December 2026January 2027February 2027March 2027April 2027May 2027
- Student #3 Total
- Student #4 Full Name
  
  First NameLast Name
- Student #4 Grade
- Annual Enrollment - $2,000 per year/per child (Unlimited before & after care for the school year) (Best value - equivalent to $200/month)Monthly Enrollment - $250 per month/per child (please select month(s) below)
- August 2026September 2026October 2026November 2026December 2026January 2027February 2027March 2027April 2027May 2027
- Student #4 Total

Total Enrollment Cost (All Students Combined)
Processing Fee Calculation
Final Payment Amount Total

Payment Amount*

prevnext( X )

USDDescription

Payment Methods

Credit Card

Apple Pay

After submitting the form, you will be redirected to Apple Pay to complete the payment.

Google Pay

After submitting the form, you will be redirected to Google Pay to complete the payment.

ACH Bank Transfer

Should be Empty: