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Student's Registration Form

Please complete the following information to register for the classes

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Student's Full Name *

Student's Phone # *

Student's Address *

Student's Email *

Grade *

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Father's Name *

Phone # *

Father's Email *

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Mother's Name *

Phone # *

Mother's Email *

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Emergency Contact Name *

Emergency Contact Phone # *

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Any food allergies or dietary restrictions *

Please agree with our terms & conditions *

You and your student will abide by the policies oulined in the student handbook.* - $ 100.00
Tuition is $125/month. You are responsible for on-time tuition payment when collection method is announced.* - $ 200.00

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Select the course which you want to enroll *

Foundations of Faith - $ 100.00
Thriving Muslim Youth - $ 200.00

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