Quran School Registration Form 2021-2022
Parent First Name *
Parent Last Name *
Parent Email Address *
Home Number *
Cell Number *
Child First Name *
Child Last Name *
Gender *
Was this child previously registered for the program? *
Any medical conditions for child? *
Age. *
What Quran Level do you think best describes your child? Qaidah half done *
Do you require financial assistance?
Clear selection
The intention is to have all classes eventually on-site, but we are interested in knowing your preference in holding classes virtually or in person?
Clear selection
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