Islamic School Registration Form

Class Days (أيام الدراسة)
Saturday & Sunday (السبت والأحد)
Tuition Fees (الرسوم الدراسية): $51.80 per month

Student Information
(معلومات الطالب)

Student's Name (⁠اسم الطالب/الطالبة)

This field is required.

Student's Email (⁠البريد لإلكتروني)

This field is required.

Student's Current Grade Level

1st Grader

2nd Grader

3rd Grader

This field is required.

Father's Name (⁠اسم الأب)

This field is required.

Father’s Phone (⁠رقم هاتف الأب)

This field is required.

Mother’s Name (⁠⁠اسم الأم)

This field is required.

Mother’s Phone (⁠رقم هاتف الأم)

This field is required.

Students must attend regularly and on time.

This field is required.

Parents must drop off and pick up students on time.

This field is required.

I will pay the $51.80 per month tuition fees for this student.

This field is required.

Billing Name

This field is required.

Billing Email

This field is required.

Monthly Tuition Payment

$51.80 per month (until cancelled)

Stripe

•⁠ ⁠Book – $15.45
•⁠ ⁠Hoodie – $30.90
•⁠ ⁠Long-Sleeve Shirt – $20.60
•⁠ ⁠Short-Sleeve Shirt – $15.45