Masjid Quba - Weekend Maktab 2023
FILL ONE FORM PER CHILD
Junior Class: Ages 5-9
Senior Class: Ages 10-18
Student Name
*
First Name
Last Name
Age
*
Please Select
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Minimum age 5
Gender
*
Please Select
Male
Female
Parents Name
*
Emergency Contact Phone Number/WhatsApp Number
*
Parents will be added to a class group chat
Choose class group
*
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Junior Class
$
30.00
CAD
for each
month
Senior Class
$
30.00
CAD
for each
month
Email
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: