Registration for BEAM Members/Students
BEAM Members/students are students enrolled in any online or in-person BEAM program.
Child's Name
*
First Name
Last Name
Child's Date of Birth
*
-
Month
-
Day
Year
Date
Child's Gender
*
Female
Male
Child's Grade Level
*
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mother's Name
*
First Name
Last Name
Mother's Phone Number
*
Please enter a valid phone number.
Mother's Email
*
example@example.com
Father's Name
*
First Name
Last Name
Father's Phone Number
*
Please enter a valid phone number.
Father's Email
*
example@example.com
Does your child have any special needs?
*
Would you like to register for Quran or Arabic Classes?
*
Quran
Arabic
Back
Next
Choose a teacher, then click next to view their schedule
View Ms. Reema's Schedule
View Ms. Iman's Schedule
View Ms. Lubna's Schedule
View Ms. Massa's Schedule
Back
Next
Ms. Lina's Availability
Ms. Mais's Availability
Ms. Reema's Availability
Ms. Salam's Availability
Ms. Iman's Availability
Ms. Lubna's Availability
Ms. Massa's Availability
Select the payment that matches with your desired class length and frequency.
*
prev
next
( X )
One 30 mins class per week
$
36.40
for each
month
Two 30 mins classes per week
$
72.80
for each
month
Three 30 mins classes per week
$
109.20
for each
month
Four 30 mins classes per week
$
145.60
for each
month
One 60 mins class per week
$
72.80
for each
month
Two 60 mins classes per week
$
145.60
for each
month
Three 60 mins classes per week
$
218.40
for each
month
Four 60 mins classes per week
$
291.20
for each
month
Submit
Should be Empty: