Register Personal InformationName* First Middle Last ID Number*Place Of Birth*Birth Date*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender*MaleFemaleAdress*CityHealth Status*Describe what is your child health status eg. Healthy OR Describe moreWeight*Weight in K.GHeight*In CmDo you have any problems with (Bones OR Muscles)*Bones ProblemsMuscles ProblemsNone of themDo you have back problems?*NoDo you have any of heart or breathing problems / disease?*NoDoes your kid suffer from any psychological or behavioral problems?*YesNoIf your kid taking medicines (Write here the medicine name).Parent InformationFull Name*Phone*Email* Postal Code*Programs*GymnasticsFootballKarateYogaDrawingMusic GardenMusic EducationThe Sunday FruitsPlease choose the program your kid is looking to joinTotal ₪ 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*