ICN Qur'an Institute - HS and MS Girls Program Registration

ICN Qur'an Institute - HS and MS Girls Program Registration
📅 Dates: Monday, October 14th, 2024 to Wednesday, May 21st, 2025

🕰️ Time: Middle School and High School - Girls: Mondays & Wednesdays | 5:00 PM - 7:00 PM

📍Location: Islamic Center of Naperville - Ogden.

2844 W Ogden Ave., Naperville, Illinois 60540.

Questions or Comments: iqi@icnmasjid.org
Father's Name:*

First NameLast Name
Father's Phone Number:*
Please provide cell phone number
Mother's Name:*

First NameLast Name
Mother's Phone Number:*
Please provide cell phone number
Primary Email:*
example@example.com
Medical Emergency contact persons authorized by parents:
Emergency Contact:*

First NameLast Name
Daytime Phone Number:*
Doctor Contact*

First NameLast Name
Doctor's Phone Number*
I/We hereby grant permission to Islamic Center of Naperville, or its authorized agent(s), to seek medical help for my/our child/ward in case of emergency when, for reasons beyond their control, the authorized person(s) above cannot be reached.*

Clear
Students Registered:*
Please consider making a contribution to the ICN Qur'an Institute program. Please click the link below (opens in a new window) to make this contribution.

Sponsor
Parent's Agreement:*

By completing this registration, we agree, as parents/guardians, to cooperate with the Islamic Center of Naperville's Quran Institute program.

Select number of students being enrolled in the program:*

ICN Qur'an Institute Program - 1 studentICN Qur'an Institute Program - 1 student

$120.00 for each month

ICN Qur'an Institute Program - 2 studentsICN Qur'an Institute Program - 2 students

$230.00 for each month

ICN Qur'an Institute Program - 3 or more studentsICN Qur'an Institute Program - 3 or more students

$340.00 for each month

Total

$0.00