After School Qur'ān Program Enrollment Form
This form must be signed by a parent or guardian if student is under 18 years of age.
Spring 2019 Classes
Student's Full Name
Date of Birth
Student's Phone Number
Which program are you enrolling in?
After School Monday and Wednesday Sessions (Time to be set after enrollment)
After School Tuesday and Thursday Sessions (Time to be set after enrollment)
Part Time Memorization Monday-Thursday Sessions 3:45pm-5:30pm
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