Quran Institute Registration Form                      
Academic Year 2024-2025 (1446 Hijri)
  • Parents must fill out a form for each child.
  • Email is the main form of communication in regards to school information, closures and activities so please check it regularly.
Sign in to Google to save your progress. Learn more
Email *
Child's Name: *
Child's Gender *
Child's Date of Birth: *
Children under the age of 4 are not eligible to enroll.
MM
/
DD
/
YYYY
Is student returning or new to Quran Institute?
*
Does the student have any food or nut allergies?
Parent's Name: *
Address: *
Parent's Phone number: *
Payment Method: *
*
  • Fees:
    1 child
    – One-time payment of $400 or two payments of $200 each.
    2 children – One-time payment of $650 or two payments of $325 each.
    3+ children – One-time payment of $850 or two payments of $425 each.

  • First fee payment must be made at time of registration. Second payment must be made before January 10, 2025.
    Acceptable methods of payment:
    1. By check made payable to IASC.
    2. Setup payment through your bank for payment to IASC at 189 East Main St, Meriden, CT 06450.
    3. Pay using
    PayPal (link available at rawdatalquran.org, Quran Institute and School Fees).

  • Early online registration and payment is required to ensure your child a spot in the program.
  • Special Needs Statement and Claim of Liability Waiver:

    • Rawdat Al-Quran is not equipped to care for children with special medical, emotional, disciplinary or educational needs. If the above-named student(s) is/are receiving, or is in need of, more than normal supervision, it is required that the parent contact the school administration prior to registration.
      A parent’s on-site presence during the full duration of school hours may be granted upon request in certain situations.
    • I grant the administration of Rawdat Al-Quran at Masjid Al Rawdah full authority to use their judgment in obtaining and providing emergency medical care deemed necessary to protect the health and safey of the above-named student(s). This care may include, but not limited to, placing the student under the care of a doctor or hospital.
    • I hereby release, hold harmless, and indemnify the administration of Masjid Al Rawdah, its teachers, or other agents, within their individual capacities or by reason of their relationship with Masjid Al Rawdah from all responsibility, liability, or claims of any nature whatsoever for loss, damage, or destruction of property, or injury due to any cause whatsoever to me as a parent or to my children who will be attending the school as students.

  • I hereby agree to pay all fees on time to Masjid Al Rawdah.
Required
*
  • It is expected that your child will be on time for class, therefore Students must arrive no earlier than 10 minutes before class and be picked up no later than 10 minutes after class. Or a penalty fee of $25 will be applied.
  • Drop off and Pick up - Parents will wait at the door of the Masjid to pick up their children 
  • Students must be prepared for class with a pencil, notebook, water bottle, snack, and hijab (for girls). Books and copy work will be provided by the masjid.
  • Parents must NOT send their kids to school if the child is not feeling well. 
  • Parents must pay the fees for their child to be in the school.  We have different payment options available.  If you are experiencing financial hardship, please speak with us to make arrangements.
  • Our School is run on volunteers - please be kind to them - please donate your time if you are able. 
  • Donations of snacks, tissues, sanitizing wipes,  gift cards in $10 increments and school supplies are much appreciated at any time during the school year. 
Required
*
  • An email will be sent out once final student placement is determined.
Required
*
  • This is a team effort between parents, teacher and student please help us enforce the lessons learned and rules to be followed. 
Required
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 rawdatalquran.org.