Imam al-Asr Sunday School Registration

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Imam al-Asr Sunday School Registration

Questions? Email school@imamalasr.org

Email *

Parent/Guardian Name *

Address *

Parent Phone Number *

Parent Email *

How many children you are registering? *

Please select all the programs your family will be participating in. *

In-Person on 1st and 3rd Sundays (Quran and Ahkam)

Online on 2nd Sundays (this is the online component to the in-person classes)

In-Person Mom & Tot (Ages 0-4)

In-Person Adults Quran Session (1st and 3rd Sundays)

Required

Student Name [1] *

Date of Birth [1] *

YYYY

Student Email [1] *

Quran Level [1] *

Student does not know Arabic alphabet

Student only knows the Arabic Alphabet

Student knows basic rules of recitation

Student recites fluently, but not with tajwid

Student recites with tajwid

My child is 0-4 years old.

Other:

Student Name [2]

Date of Birth [2]

YYYY

Student Email [2]

Quran Level [2]

Student does not know Arabic alphabet

Student only knows the Arabic Alphabet

Student knows basic rules of recitation

Student recites fluently, but not with tajwid

Student recites with tajwid

My child is 0-4 years old

Other:

Clear selection

Student Name [3]

Date of Birth [3]

YYYY

Student Email [3]

Quran Level [3]

Student does not know Arabic alphabet

Student only knows the Arabic Alphabet

Student knows basic rules of recitation

Student recites fluently, but not with tajwid

Student recites with tajwid

My child is 0-4 years old

Other:

Clear selection

Student Name [4]

Date of Birth [4]

YYYY

Student Email [4]

Quran Level [4]

Student does not know Arabic alphabet

Student only knows the Arabic Alphabet

Student knows basic rules of recitation

Student recites fluently, but not with tajwid

Student recites with tajwid

Clear selection

Additional Student Names, Ages, Email, and Quran Level

Does your child have any special medical needs? *

Yes

If yes, please explain here:

Tuition Information

Annual tuition is $160 per student.
Tuition can be paid in one or two installments.

Pay fees online at https://www.imamalasr.org/donate or make checks payable to IMAM AL-ASR.

Please select the tuition amount that applies to you: *

1 child: $160

2 children: $320

3 children: $480

4 children: $640

Other

Tuition Confirmation *

I have paid the fees online

I sent a check payable to IMAM AL-ASR

Payment will be made in person

Required

Acknowledgement

By submitting this form, I agree to the following:

I, the parent or guardian of above child(ren), hereby waive Imam al-Asr and its volunteers from any and all liability for any type of injury, loss or damage to person or property that may occur during the course of my child(ren)’s involvement.

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