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Jami Omar- Al-Madrasah Noorul Islam Evening Quran memorization (Hifdh) Class
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Parent First Name
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Parent Last Name
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Parent Email Address
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Home Number
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Cell Number
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Child First Name
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Child Last Name
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Gender
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Male
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Any medical conditions for child?
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Age.
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Is your child learning the Qaida?
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Is your child able to recite Quran?
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Has your child started to memorize the Quran?
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If yes to the previous question, how much have they memorized thus far?
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Less than 1 Juz'
1 Juz'
3-5 Juz'
5-10 Juz'
15-20 Juz'
20+ Juz'
Do you require financial assistance?
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If yes to the previous question, what type of financial assistance do you require?
Require More time to pay the monthly tuition
Able to pay 75% of the tuition
Able to pay 50%
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