Quraan Reading & Memorization - 2024- (5th Batch Registration)
Register NOW - 
WWW.ALBASEERAH.ORG -
For any questions or inquiries please email = hifz.albaseerah@gmail.com

Sign in to Google to save your progress. Learn more
Email *
Full name *
Gender *
Age *
Phone Number *
Your City *
Your State *
Country *
What languages do you speak/understand? *
Would you like to Volunteer? if yes how many hours weekly? *
If you are considering to volunteer, we thank you for that. May Allaah bless you. Would you please list your skills. How would you like to volunteer? What is your expertise? *
Days of the week you would like to take Quraan classes? Please select 2 only (Depending on the availability, we will do our best to accommodate your preferred days insha Allaah) *
Required
BROTHERS - Please select your preferred time for Weekdays (Select one) -- All timings in EST-- Please don't forget your selected time, We recommend that you write it down so you would know what time to attend classes.
Clear selection
SISTERS- Please select your preferred time for Weekdays (Select one) -- All timings in EST--   Please don't forget your selected time, We recommend that you write it down so you would know what time to attend classes.
Clear selection
BROTHERS and SISTERS - Please select your preferred time for Saturday-Sunday (Select one) --   Please don't forget your selected time, We recommend that you write it down so you would know what time to attend classes.
Clear selection
Presently classes are being offered at above time slots, if this does not suit you please suggest days and times we may add in future insha Allaah.
Do you know how to read al-Quraan? *
How much have you memorized? List the Juzz (Chapters) or Surahs *
To help students fully benefit from this unique and golden opportunity fees are required but will be fully refunded at the end of the course if students maintain 90% of attendance. *
Family Registration? Please fill out a separate form for every family member. *
Required
Would you like to support Dawah activities? Please donate now *
Do you have any question or concern? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms