ICB Student Registration Form
Student Registration Form
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Adults students can put their own name
Please provide full address including State, City and ZIP Code
Emergency Contact Name
Emergency Contact Number
Relationship to Student
For Multiple Students Please add Name,DOB, Gender and Program to enroll manually here
Student Date of Birth
We provide following siblings discount for weekday and Sunday School.
1. One child, 300 tuition fee and 50 books and registrations.
2. Two children, 550 tuition fee and 100 books and registration.
3. Three children, 600 tuition fee and 150 books and registration.
4. Four and above children 150/child tuition fee and 50/child books and registration.
Program to Enroll
Sunday (Fee: $350/year, including books and registration $50)
Weekday (Fee: $350/year, including books and registration $50)
Hifz (Fee: $1500/year, including books and registration $50)
Pre-Hifz (Fee: $350/year, including books and registration $50)
Part Time Aalim Course (Fee: $350/semester, including books and registration $50/semester)
Full Time Aalim Course(Fee: $250/month, additional books and registration 250/year)
Summer Program (Fee: $125, including books and registration $25)
Adult Quran Weekend Program (Fee:$50/month)
Do student have any of the following
Check all that apply
Physical or Mental Handicap
Allergy (specify in other)
If you cannot pay the student fee, please select Zakaat, We can arrange it by Zakaat collections on your behalf
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