atatürk okulu - Turkish Women`s League

 AMERİKA TÜRK KADINLAR BİRLİĞİ ATATÜRK OKULU OPERATING AT PS 212 MIDTOWN WEST SCHOOL 328 West 48th Street, New York, NY 10036 STUDENT REGISTRATION FORM (Öğrenci Kayıt Belgesi) STUDENT INFORMATION​
(Öğrencinin Adı ve Soyadı)
AGE​
(Yaşı) FIRST & LAST NAME: ______________________________
FIRST & LAST NAME: ______________________________
FIRST & LAST NAME: ______________________________
_____ _____ _____ HOME ADDRESS​
(Ev Adresi)
TELEPHONE # NUMBER & STREET: _______________________________ HOME: (___)____­______ CITY, STATE, ZIP CODE: ____________________________ CELL: (___)____­______ EMAIL ADDRESS(1): ____________________________ NAME:_______________ EMAIL ADDRESS(2): ____________________________ NAME:_______________ NAME OF GUARDIAN​
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(Velisinin Adi)
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RELATIONSHIP​
(Yakınlığı) FIRST & LAST NAME: ______________________________ _____________ FIRST & LAST NAME: ______________________________ _____________ IN CASE OF EMERGENCY​
: ​
Acil bir durum halinde ve velisine erişilemezse, irtibat kurmak için önerilen kişi ​
veya kişilerin ismi ve telefon numaraları FIRST & LAST NAME: ______________________________ TEL: (___)____­______ FIRST & LAST NAME: ______________________________ TEL: (___)____­______ ANY ALLERGIES OR MEDICAL ALERTS. PLEASE LIST: _______________________________________________________________________________
_______________________________________________________________________________ _______________________________________________________________________________ *ÖNEMLİ NOT: ÖĞRENCİ KAYIT TARİHİNDEN 4 HAFTA SONRA KESİNLİKLE ÖĞRENCİ KAYIT ÜCRETİ GERİ İADE EDİLEMEZ INSTRUCTIONS: PLEASE MAKE CHECKS PAYABLE TO: ​
TWLA (TURKISH WOMEN’S LEAGUE OF AMERICA) GUARDIAN’S SIGNATURE ​
(Velisinin İmzası) x:__________________________________
DATE:__________________