Al-Noor Registration Form 2018-2019
Please complete all the fields below. Make sure to fill in the proper information, capitalizing where necessary and double checking your email addresses and phone numbers.

Contact information:
Email: alnoor_adm11@yahoo.com
Phone: (317) 443-3726

Parents Information
Father's First Name: *
Your answer
Father's Last Name: *
Your answer
Mother's First Name: *
Your answer
Mother's Last Name: *
Your answer
Home Address: *
Your answer
Father's Cell Phone: *
Your answer
Mother's Cell Phone:
Your answer
Father's Email: *
Your answer
Mother's Email:
Your answer
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