Registeration

+972-26733144

info@alrajaa.org

Sat — Thu: 09.00 AM — 19:00 PM

Personal Information
Name*
First Middle Last
ID Number*
Place Of Birth*
Birth Date*
Gender*
Adress*
City
Health Status*
Describe what is your child health status eg. Healthy OR Describe more
Weight*
Weight in K.G
Height*
In Cm
Do you have any problems with (Bones OR Muscles)*
- Bones Problems
- Muscles Problems
- None of them
Do you have back problems?*
- No
Do you have any of heart or breathing problems / disease?*
- No
Does your kid suffer from any psychological or behavioral problems?*
- Yes
- No
If your kid taking medicines (Write here the medicine name).
Parent Information
Full Name*
Phone*
Email*
Postal Code*
Programs*
- Gymnastics
- Football
- Karate
- Yoga
- Drawing
- Music Garden
- Music Education
- The Sunday Fruits
Please choose the program your kid is looking to join
Total
₪ 0.00
Parent Consent*
I agree to register my kid at (Al-Rajaa Academy) & I've read all the rules and instructions & I consent that all the info provided by me is true.
Signature*

Al- Rajaa provides programs and activities that aim to create a society with educational, intellectual, cultural, and sportive rules.

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Personal Information