Resources & Supplies Fees 2022-2023
Assalamu Alaikum, Dear Al-Hijra Academy families.

This fee of $140/student includes the cost of workbooks, novels, supplies, and other instructional resources that can be paid by EFT (electronic funds transfer--WITHDRAWN ON OCTOBER 1, 2022), or at the office by cheque or debit by FRIDAY, OCTOBER 21, 2022. Please fill out the form below by filling out the students’ names and grades first, and then multiply the total number of children by $140. Choose a payment method and please submit as soon as possible.

Sign in to Google to save your progress. Learn more
Email *
Parent's First Name & Last Name *
Best phone number to reach you *
In which grades are your children? Check all that apply. *
Required
1st Student's First & Last Name, Grade *
2nd Student's First & Last Name, Grade
3rd Student's First & Last Name, Grade
4th Student's First & Last Name, Grade
5th Student's First & Last Name, Grade
TOTAL COST *
Please multiply your total # of children by $140 and enter it below:
Payment Method *
CHOOSE ONE
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Al-Hijra Academy. Report Abuse