Registration

Student's First Name

Student's Last Name

Age

Country

Address

Phone

Email

Will You Be Studing From Home?
(If your answer to the question above is no, please enter the address from which you will be studing)
YesNo

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Country

Parent/Guardian Address
(First line of address, Second line of address, City, Country)

Relationship to student
(Parent, Other - Please Specify)

Parent/Guardian Email

Parent/Guardian Mobile Phone

Parent/Guardian Home Phone

Will the supervisor that attends lessons be the parent/guardian above?
(If your answer to the question above is no, please provide the details of lesson supervisor below)
YesNo

Does your child need special need or require any additional support ?
(If your answer to the question above is yes, please explain)

Competency in Arabic

Competency in Quran recitation

Courses

REGISTRATION