MYACD Registration Form Obsolete

MYACD Registration Form Obsolete

MYACD Registration Form Obsolete

Muslim Youth Association of Capital DistrictAl-Arqam Campus
Parents Information
Father's Name

First NameLast Name
Father's Phone Number
Format: (000) 000-0000.
Father's Email
Mother's Name

First NameLast Name
Mother's Phone
Format: (000) 000-0000.
Mother's Email

Students' Information*

Academic Information and Personal Interests
School Name/School District
Grade
Special Qualifications/Talents
Hobbies
Future Academic Plans
Languages Spoken
I can read the Qur'an fluently but cannot writeI can read and write verses from the Qur'anI cannot read or write from the Qur'an but I'm willing to learn
Prior Islamic Education
Please Explain

Parental Consent
I/We, as parent(s) of the student filling this form, agree to his/her participation in the Youth Program
Parent Signature

Clear
Should be Empty: