1MM SCHOOL Registration Form 1446

1MM Youth School Registration Form

Please fill out this form for registration.
January 12, 2025 - February 23, 2025

Sundays 9:30 am - 12:30 pm
Address: 1911 Wylie Ave, Pittsburgh, PA 15219
Fees: $50 per month per child.

Sponsorship available for those in need.
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Follow us on X @1MMSchool

Contact us: 1mmquranschool@gmail.com

Visit: www.firstmuslimmosque.com
Payment options*
Student Name*

First NameLast Name
Age*
Gender*
Parent's Full Name*
Parent's Phone Number*
Parent's Email*
example@example.com
How many Surahs has your child memorized?*

01-56-10more than 10more than 20
How would you describe your child’s proficiency in Arabic?*

NoneBasicFluent
Does your child have any medical needs or special conditions?**
Does your child have any dietary restrictions?**
Other additional comments or concerns:
Other Payment options

Paypal
Note: Payments to the school should be marked "REF: 1MM School Fees"
By clicking the submit button below, I understand that I need to organize transportation for my child to arrive at 9:30 am and be picked up at 12:30 pm every Sunday. I also commit to responding to phone calls or messages during that time.
Should be Empty:

1MM Youth School Registration Form