Quran & Islamic Studies After School Program 
Asalamu alikum, 

Please fill out the form below to join! If multiple children in the family, please fill out a form for each!

Jazak Allahu Khair 

When: Every Monday and Tuesday 5:30pm-7:30pm
Where: Islamic Center of South Jersey 
612 Garfield Ave Palmyra, NJ 08065



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Childs FIRST and LAST name  *
What grade is your child currently in? *
Parents/Legal Guardian First and Last name *
Parents/Legal Guardian Email address *
What days will be you attending the program? *
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