Quran and Arabic language class registration for girls ages 6-17

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Location: Women's area and third floor classrooms, Denver Islamic Society, 2124 S Birch St, Denver, CO 80222. Email dis.birchstreet@gmail.com or call 303-759-1985 extension "1" in case of questions.

الموقع: مسجد النور / جمعية دنفر الإسلامية

Parent's full name *

Parent's email address *

Parent's phone number *

Parent's complete physical address *

Student's full name *

Student's date of birth *

YYYY

Student's age *

Is the student able to recite Quran? *

Yes

Additional notes

Any injuries/illness/medical needs/allergies, etc. of the student

I understand that I will follow the guidelines below, as provided by the Masjid. *

Yes

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