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.
Format: (000) 000-0000.
Mother's Email
*
example@example.com
Father's Name
*
First Name
Last Name
Father's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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
Click on a teacher, browse their schedule, then choose your desired class time.
Select the payment that matches with your desired class length and frequency. Note: first payment includes the yearly registration fee of $130 ($65 per semester).
*
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next
( X )
One 30 mins class per week
$187.20
$
187.20
for the
first payment
then,
$52.00
$
52.00
for each
month
Two 30 mins classes per week
$230.88
$
230.88
for the
first payment
then,
$95.68
$
95.68
for each
month
Three 30 mins classes per week
$266.24
$
266.24
for the
first payment
then,
$131.04
$
131.04
for each
month
Four 30 mins classes per week
$301.30
$
301.30
for the
first payment
then,
$166.40
$
166.40
for each
month
One 60 mins class per week
$218.40
$
218.40
for the
first payment
then,
$83.20
$
83.20
for each
month
Two 60 mins classes per week
$293.28
$
293.28
for the
first payment
then,
$158.08
$
158.08
for each
month
Three 60 mins classes per week
$359.84
$
359.84
for the
first payment
then,
$224.64
$
224.64
for each
month
Four 60 mins classes per week
$418.08
$
418.08
for the
first payment
then,
$282.88
$
282.88
for each
month
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