**Mar Narsai Malpana Registration**

    Please complete the following application to register in Mar Narsai Malpana Assyrian Language School for 2018-2019 school year. The registration fee this year is $100. Once you complete the registration you'll need to go to Donation web page and choose "Mar Narsai School" from the drop down list to pay for your registration fee using PayPal.

    Student First Name: *
    Student Last Name: *
    Parent Full Name: *
    Address Line1: *
    Address Line2: 
    City:  State:  Zip: 
    Home Phone Number: *  
    Cell Phone Number: *  
    Email Address: *  
    Confirm Email: *  
    New Student: 
    Student Age: *
    Who was your teacher last year?:  *
     *I have read and understood the School Rules.
     *I have read and fully understand the School Waiver and release of all claims.

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