JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Tanzeel Program Registration for Nadhira / Qur'an Reading / Part-Time Hifdh / Hifdh Retention
Fill form for each student separately.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student's First name
*
Your answer
Student's Last name
*
Your answer
Student's Age
*
Your answer
Student's Grade
*
Choose
Pre K4
KG
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Nineth
Tenth
Eleventh
Twelfth
Father’s First name
*
Your answer
Father's last name
*
Your answer
Father's email address
*
Your answer
Father's phone number
*
Your answer
Mother’s first name
*
Your answer
Mother's last name
*
Your answer
Mother's phones
*
Your answer
Mother's Email
Your answer
Parent's Address 1
*
Your answer
Parent's Address 2
Your answer
Parent's City
*
Your answer
Parent's State
*
Your answer
Parent's Zip code
*
Your answer
Would you or any family member like to Volunteer for Tanzeel ?
*
Yes
No
Maybe
Which area would you like to volunteer
Marketing
Events
Assisting teacher
Fund Raising
Other:
Clear selection
Select the Program
*
Weekdays Nadhirah Program, Reading Qur'an (Basics, Noorania, Qaidah)
Weekend Nadhirah Program, Reading Qur'an (Basics, Noorania, Qaidah)
Part-Time Hifdh
Hifdh Retention Program
Next
Page 1 of 5
Clear form
Never submit passwords through Google Forms.
This form was created inside of Islamic Center of Irving.
Does this form look suspicious?
Report
Forms