1MM Sunday Quran School Registration Form
February 16th - May 3rd, 2020
Sundays 10:30 am -1:45 pm
Address: 1911 Wylie Ave, Pittsburgh, PA 15219
Fees: $50 per child per month. Financial assistance is available.
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Contact us:
https://twitter.com/1MMPGH
info@firstmuslimmosque.com
If you have more than one child, please fill out a separate application for each child
Child’s Full Name *
Your answer
Child’s Age *
Your answer
Child’s Gender *
Parent’s Name *
Your answer
Parent's Phone Number *
Your answer
Parent’s Email *
Your answer
How many Surahs has your child memorized? *
How would you describe your child’s Proficiency in Arabic? *
Does your child have any medical needs or special conditions? *
Your answer
Does your child have any dietary restrictions? *
Your answer
Other important comments or concerns:
Your answer
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