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.
Fall 2019 Classes September 3, 2019- December 5, 2019.
Class registration fee $25.
Semester tuition $300 per child, $450 for 2 siblings, $600 for 3+ in family
Email address *
Student's Full Name *
Your answer
Date of Birth *
MM
/
DD
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YYYY
Student's Address *
Your answer
Student's Phone Number *
Your answer
Which program are you enrolling in? *
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