Quran Institute Registration Form
Fill out the form carefully for registration. IF YOY HAVE READ THE FOLLOWING FROM THE WEBSITE PAGE THEN KINDLY SKIP AND GO THE NEXT ITEM. "The Straightway Foundation Qur'an Institute and Masjid Al-Hedayah are very pleased to offer a Qur'an Memorization, Reading and Understanding Program to serve the local Muslim Community of all ages for both males and females from 6 years and older. Please be advised that your application will not be completely processed until all required information is provided. Program Details:The classes will start on early September and the date(s) will be announced as soon as it is determined. All levels are in person and for one (1) hour for each level on either two (2) times or four (4) times per week with weekdays after 5 PM and weekends from 9 AM to 1PM. Levels: Level 1: Learning to read Qur'an; Level 2: Need to improve reading & memorizing Qur'an with Tajweed; Level 3: Memorize Qur'an at moderate pace; Level 4: Memorize Qur'an at advanced pace. Monthly Fees:$60 for the two (2) sessions per week, and $100 for the four (4) sessions per week. 20% discount for each additional member from the same household. First come first served basis, student level will be determined by test administered by the teachers.Tuition is due on the 1st day of each month.Please don't hesitate to contact us at swfmedia1@gmail.com or by calling (626) 278-9716, should you have any question, concern, or in need of Financial assistance.
Please Select Where You Will Attend
Please Select
1: Islamic Center of Glendale: 700 S Adams Street, Glendale, CA 91205
2: Masjid Al-Hedayah: 5109 W 5TH Street, Santa Ana, CA 92703-3123
Student Name
First Name
Middle Name
Last Name
SEX
Please Select
Male
Female
N/A
Age in Years
Father Name if Student is Child
First Name
Last Name
Father Phone Number if Student is Child
Please enter a valid phone number.
Mother Name if Student is Child
First Name
Last Name
Mother Phone Number if Student is Child
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student E-mail
example@example.com
Mobile Number
Phone Number
Course Level
Please Select
Level 4 Memorize Qur'an at advanced pace
Level 3 Memorize Qur'an at a moderate pace.
Level 2 Need to improve reading & memorizing Qur'an with Tajweed
Level 1 Learning to read the Qur'an
Arab/Non-Arab: Ability to read Arabic
Please Select
Level 1: None
Level 2: Poor
Level 3: Fair
Level 4: Fluent
Please List all your already memorized Chapters (Ajzaa), Surah, segments, etc.
Provide all your availabilities to attend the classes
Additional Comments
Submit
Should be Empty: