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Madrasa / Quran Class Student Application
Madrasa
Age Requirement: Ages 6 - 15 Years old
Classes Held Saturdays 9AM to 12PM
Fees $40 Monthly
Quran Class
Tuesday to Friday: 5:30pm to 7:00pm
Brothers 7yrs to Adult
Sisters 7yrs old to 12yrs old
Fees $30 Monthly
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* Indicates required question
Are you applying for Madrasa or Quran Class (or both)
*
Quran Class (Tuesday to Friday)
Madrasa (Saturday Only)
Required
Has your child attended Masjid As-Siddiq Madrasa or Quran class before?
*
Yes
No
Student ID
Madrasa Student ID - Leave blank if you don't know it
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Student First Name
*
Your answer
Student Last Name
*
Your answer
Student Date of Birth
*
01/04/2001
MM
/
DD
/
YYYY
Student Gender
*
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Male
Female
Student Email Address
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Student Allergies to Food
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Student Other Health Information
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Second Student?
Would you like to register a second student?
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No
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