Registration Form
Al-Mawrid Nazirah Program
3630 N Josey Ln, Suite 200
Carrollton, TX 75007

Tel: +1(972) 370 - 5083

NOTE: Al-Mawrid United States Inc. is a 501(c)(3) tax-exempt non-profit organization. Federal EIN: 46-5099190

Student Name *
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Student Age *
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Parent Name (Required for students under 18 years of age)
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Email *
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Phone *
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City *
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State/Province *
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Country *
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