BCMA - Richmond | Quran Registration Form

The BC Muslim Association — Richmond

Fill out the form carefully to register to Abu Hurayrah Quran Academy — For Help call 604 365 8245
Please DOWNLOAD, FILL, SIGN and then SCAN THE M51 FORM before YOU START the APPLICATION PROCESS. You will be asked to submit the signed/filled M51 form at the end of the registration process.
IF YOU CAN'T SEE THE ATTACHED M51 FORM, PLEASE COPY THE URL AND PASTE IT IN YOUR BROWSER.

https://www.thebcma.com/upload/PDF/M51%20Pre-Authorized%20Debit%20Fillable%20Form.pdf
I have the M51 (BCMA PDP) form and a void cheque or a PAP form with my bank details.*

YESNO

How many students are you registering?*
Please choose one option only

Student Information

Please make sure you enter the correct information.
Student # 1*

First NameLast Name
Gender*
Date of Birth*

MonthDayYear
Date

Add more students
Student #2

First NameMiddle NameLast Name
Gender
Date of Birth

MonthDayYear
Date
Student #3

First NameMiddle NameLast Name
Gender
Date of Birth

MonthDayYear
Date
Student #4

First NameMiddle NameLast Name
Gender
Date of Birth

MonthDayYear
Date

PARENT’S / GUARDIAN INFORMATION
Father or Guardian*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Mother or Guardian

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
EMERGENCY CONTACT (other than parent)
Name*

First NameLast Name
Relation with student:
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Quran/Islamic Studies Option

Please choose from options below:
Please Choose only ONE option*

Weekdays (5 days— Mon to Fri): 4:30pm - 6:30pmSaturdays: 10:00am - 1:00pm
Book Fees

Book Fees are only for students who are Age 6 and up. Fee is ONLY for the books included in the curriculum.
Please note that the non-refundable curriculum text book fee is $50.00 per child to be paid by cash, cheque or card in person at the Masjid. Financial assistance for tuition fee is available for Zakat eligible students.
Monthly fees for each Class option is listed below

We do not accept cash or Cheque. We only accept Monthly Pre-Authorized Payment.
Please see payment required for specific class

Daily Quran Class (Mon - Fri) $60Saturday Islamic School $60
Upload the BCMA form here.*

Cancelof
Upload your void Cheque or PAP form here. *

Cancelof
I, First & Last Name* hereby authorize BCMA– Richmond Branch to withdraw Qur'an/Islamic Studies fees of CAD Amount here* from my account on the 1st of every month. This agreement will be terminated upon the student’s completion or cancellation from the madrasah via a withdrawal form available in the office. I am solely responsible for ensuring the funds are available on the 1st of the month. I understand that it is my responsibility to inform BCMA Richmond Branch of any bank account changes or registration cancellations in advance.

I will ensure that my child will abide by the rules and regulations of the Madrasah.
Please note that all students must wear the required madrasah uniforms daily. White Jubba (thobe) and white hat for boys, and black abaya and white scarf for girls.
Personal electronic devices will not be allowed in class.
Parent/Guardian Signature*

Clear

Should you have any questions please contact at 604 365 8245
Should be Empty:

The BC Muslim Association — Richmond

IF YOU CAN'T SEE THE ATTACHED M51 FORM, PLEASE COPY THE URL AND PASTE IT IN YOUR BROWSER.

Student Information

PARENT’S / GUARDIAN INFORMATION

EMERGENCY CONTACT (other than parent)

Quran/Islamic Studies Option

Book Fees

Please note that the non-refundable curriculum text book fee is $50.00 per child to be paid by cash, cheque or card in person at the Masjid. Financial assistance for tuition fee is available for Zakat eligible students.

Monthly fees for each Class option is listed below

Should you have any questions please contact at 604 365 8245