Sisters Quran Class Registration form
Student Information
Name *
Your answer
Email *
Your answer
Home Address *
Your answer
City *
Your answer
Postal Code *
Your answer
Phone Number *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
How did you hear about us? *
Your answer
Waivers
I understand and agree that Taleem shall not be held responsible for any medical costs incurred in any situation. I understand that I am financially responsible for any medical costs incurred. I agree to release and not indemnify Taleem, its staff and volunteers from any injuries, verbal or physical mistreatment incurred to the applicant. Taleem reserves the right to cancel the registration if rules and policies of the school are not followed. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service