KIDS SUMMER 2021

Summer Online Virtual Program 🧑‍💻☀️

Fill out the form carefully for registration || FOR HELP CONACT US: ARABIC SPEAKER:832-888-1848. || ENGLISH SPEAKER: 832-873-6451
Student Name 1*

First NameMiddle NameLast Name
Students name 2 (sibling Only). ***if they are registering only***

First NameMiddle NameLast Name
Mothers Full name*

First NameMiddle NameLast Name
Fathers Full name*

First NameMiddle NameLast Name
Fathers Phone number*

Area CodePhone Number
Mothers Phone Number*

Area codePhone Number
Parents E-mail*
Birth Date Student 1

MonthDayYear
Birth Date Student 2

MonthDayYear
Gender Student 1*
Gender Student 2
Student 1 AGE*
Student 2 AGE
Does your child know the Arabic Alphabet? *
Would you like your child to attend the Islamic studies session for 10 minutes?
LEVEL Student 1 *
I agree the appearance of my child will be presented online through a virtually class & occasionally on social media.*

YES
KIDS MOTHER TONGUE LANGUAGE? *
LEVEL Student 2
Upload a passport style picture of the student 1*

Browse Files

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Upload a passport style picture of the student 2

Browse Files

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How did you hear about us? *
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

My Products

student 1 $300.00

FULL Summer SEMESTER + Registration FEE nonrefundable

siblings $600.00

2 siblings (students) Full Summer semester + Registration FEE nonrefundable

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Total $0.00

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Summer Online Virtual Program 🧑‍💻☀️