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Withdrawal Form
If you wish for your child to not attend Madaniyya Academy anymore, please fill out this Withdrawal Form at least 30 days in advance of your child's last date of attendance. Failure to do so will result in your child(ren)'s fees being withdrawn from your account and no refund will be provided.
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Email
*
Your email
What is the full name of your child whom you are withdrawing from Madaniyya Academy?
*
Your answer
What is your full name?
*
Your answer
What is account holder's full name?
*
Your answer
What date is the monthly tuition withdrawn from your account?
*
5th of the month
21st of the month
What is your phone number
*
Your answer
Which program your child is in?
*
Boys Hifz
Girls Hifz
Islamic school
High School
Only Aalim Class
Maktab (Quran) Class
What is (will be) the last date your child will attend class?
*
MM
/
DD
/
YYYY
Reason for Leaving or any other comments or suggestion.
We want to improve our service so please give your feedback/complain/suggestions. Your coments will be confidential and will not be shared with anyone without your permission.
Your answer
Be a Founding Donor
Would you like to be a founding donor of Madaniyya Academy?
*
This is a pledge and not a commitment. You may cancel your donation at anytime before the end of 5 years.
Yes. I would like to be a founding donor and donate $80/month for 5 years. Continue deducting my account in the amount of $80/month for 5 years.
Unfortunately not at the moment. I will think about it and let you know
Other:
A copy of your responses will be emailed to the address you provided.
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