Young Muslim Registration Form (Ages 3-4)
Use this form to register for the virtual PK program (ages 3 & 4) starting January 25th, 2021. Timings will be from 9:00 to 11:00 AM CST (Mon-Fri). After registration and prior to the first session, you will receive confirmation and an invitation to the virtual classroom. Tuition will be waived for January. Additional options for in-person, hybrid, and virtual PK have been made available on Monday, March 22, 2021.
Email *
Father's Name:
Phone Number:
Father's email:
Mother's Name:
Phone Number:
Mother's email:
Mailing Address:
Grade Level
Child's Name:
Date of Birth:
MM
/
DD
/
YYYY
Payment
To make a payment for the Pre K program please click on the link https://myiqa.org/donate.
$ 75 registration fee
$ 75 supply fee
$ 150 tuition for virtual pre K
A copy of your responses will be emailed to the address you provided.
Submit
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