Maktab Program

Please fill all the required fields and we will send you a registration form required by the state to be filled for each child.
Registering for*

Spring 2025
1 - Start Date *

MonthDayYear
NOTE: Your start day will be moved to the following day if the registration is received after 12:00 PM.
2 - Student's Full Name *

First NameLast Name
3 - Student's Date of Birth *

MonthDayYear
Date of Birth
4 - Current Grade Level*
School Name*
PARENT INFORMATION
Mother Full Name *

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

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

Street Address

Street Address Line 2

CityState

Zip Code
PAYMENT

Please select your preffered option

Maktab: One Time Payment (SAVE $75)

$690.00

Maktab: Monthly PaymentThe cost is calculated as: $45 × 17 weeks = $765, then divided over 4 months ($191.25 per month)

$191.25

Add Sports (Monthly Fee)Tuesdays 5:00 pm - 6:30 pm

$49.00

Add Math (Monthly Fee)Saturdays - 1:00 pm - 2:00 pm

$55.00

Add English - (Monthly Fee)Saturdays - 2:30 pm - 3:30 pm

$55.00

Enrollment Agreement

Please review and sign
Signature*

Clear
Date of Consent*

MonthDayYear
Date
How did you hear about us*

WhatsappEmailInstagramFacebookGEM NewsletterGoogleFriendRepresentative calledReceived postcardFair/Carnival/BoothBack to School FairOther
Should be Empty:

Please fill all the required fields and we will send you a registration form required by the state to be filled for each child.