Fall 2026 Interest Form
Thank you for your interest in Tarbiya Academic Scholars Institute (TASI), a full K-8 learning institute offering an Islamic alternative to traditional school. Complete this form to apply — only one application per family.
Parent Information
Parent/Guardian #1 - Full Name
*
First Name
Middle Name
Last Name
E-mail (Parent/Guardian #1)
*
example@example.com
Home/Work # (Parent/Guardian #1)
Format: (000) 000-0000.
Cell Number (Parent/Guardian #1)
*
Format: (000) 000-0000.
Preferred Method of Contact
*
Please Select
E-mail
Cell Phone
Home/Work
Address (Parent/Guardian #1)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian #2 - Full Name
First Name
Middle Name
Last Name
E-mail (Parent/Guardian #2)
example@example.com
Cell Number (Parent/Guardian #2)
Format: (000) 000-0000.
Home/Work # (Parent/Guardian #2)
Format: (000) 000-0000.
Preferred Method of Contact
Please Select
E-mail
Cell Phone
Home/Work Phone
Address (Parent/Guardian #2)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Back
Next
Student Prerequisite Screening
TASI serves Grades K–8. Beginning in 2026, students must be 5 years old by the start date. Children under 5 will be waitlisted for TASI, while 4-year-olds may be considered for our Little Scholars program.
Will your child(ren) be at least 5 years old as of September 2026?
*
Yes
No
Are you interested in our Little Scholars Program? (Must be 4 years old, turning 5 during the 2026-2027 academic calendar year)
*
Yes
No
Back
Next
Registration Information (Child #1)
Child #1 - Full Name
*
First Name
Middle Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
*
Please Select
Male
Female
N/A
Last Completed Grade Level:
*
Please Select
Never Attended School Before
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
Anticipated Grade Level (as of Fall 2026)
*
Please Select
Little Scholars (4 years old)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Is your child currently homeschooled?
*
Yes
No
What school does your child attend? (Name of School)
*
Does your child have any allergies?
*
Yes
No
Please specify:
*
Does your child take any regular medications?
*
Yes
No
Please list the medication(s) and indicate if they need to be taken during school hours (8:30 AM-2:00 PM).
*
Dietary Restrictions:
*
None
Vegetarian
Vegan
Gluten-free
Other
Emergency Contact #1 - Name & Phone Number
*
First & Last Name
Phone Number
Relationship to Child
Authorized Pickup Persons (Not Parent) - Name & Phone Number
First & Last Name
Phone Number
Relationship to Child
Authorized Pickup Persons (Not Parent)- Name & Phone Number
First & Last Name
Phone Number
Relationship to Child
Does any of the following apply to your child? (Check all that apply)
*
Individualized Education Program (IEP)
504 Plan
Behavior Intervention Plan (BIP)
Diagnosed learning, developmental, behavioral, emotional needs or ever been evaluated for special education services
No formal diagnosis or evaluation has been completed; however, child has demonstrated a pattern of behavioral and/or learning challenges that you think we should be aware of in order to better support them.
None
Please explain.
*
If applicable, please attach or describe any documentation that would help us support your child:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Do you have additional Children to add?
*
Yes, I need to register more children
No, I'm done
Back
Next
Registration Information (Child #2)
Child #2 - Full Name
*
First Name
Middle Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
*
Please Select
Male
Female
N/A
Last Completed Grade Level:
*
Please Select
Never Attended School Before
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
Anticipated Grade Level Next Year (as of Fall 2026)
*
Please Select
Little Scholars (4 years old)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Is your child currently homeschooled?
*
Yes
No
What school does your child attend? (Name of School)
*
Does your child have any allergies?
*
Yes
No
Please specify:
*
Does your child take any regular medications?
*
Yes
No
Please list the medication(s) and indicate if they need to be taken during school hours (8:30 AM-2:00 PM).
*
Dietary Restrictions:
*
None
Vegetarian
Vegan
Gluten-free
Other
Emergency Contact #1 - Name & Phone Number
*
First & Last Name
Phone Number
Relationship to Child
Authorized Pickup Persons - Name & Phone Number
First & Last Name
Phone Number
Relationship to Child
Authorized Pickup Persons - Name & Phone Number
First & Last Name
Phone Number
Relationship to Child
Does any of the following apply to your child? (Check all that apply)
*
Individualized Education Program (IEP)
504 Plan
Behavior Intervention Plan (BIP)
Diagnosed learning, developmental, behavioral, emotional needs or ever been evaluated for special education services
No formal diagnosis or evaluation has been completed; however, child has demonstrated a pattern of behavioral and/or learning challenges that you think we should be aware of in order to better support them.
None
Please explain.
*
If applicable, please attach or describe any documentation that would help us support your child:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Do you have additional Children to add?
*
Yes, I need to register more children
No, I'm done
Back
Next
Registration Information (Child #3)
Child #3 - Full Name
*
First Name
Middle Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
*
Please Select
Male
Female
N/A
Last Completed Grade Level
*
Please Select
Never Attended School Before
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
Anticipated Grade Level Next Year (as of Fall 2026)
*
Please Select
Little Scholars (4 years old)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Is your child currently homeschooled?
*
Yes
No
What school does your child attend? (Name of School)
*
Does your child have any allergies?
*
Yes
No
Please specify:
*
Does your child take any regular medications?
*
Yes
No
Please list the medication(s) and indicate if they need to be taken during school hours (8:30 AM-2:00 PM)
*
Dietary Restrictions:
*
None
Vegetarian
Vegan
Gluten-free
Other
Emergency Contact #1 - Name & Phone Number
*
First & Last Name
Phone Number
Relationship to Child
Authorized Pickup Persons - Name & Phone Number
First & Last Name
Phone Number
Relationship to Child
Authorized Pickup Persons - Name & Phone Number
First & Last Name
Phone Number
Relationship to Child
Does any of the following apply to your child? (Check all that apply)
*
Individualized Education Program (IEP)
504 Plan
Behavior Intervention Plan (BIP)
Diagnosed learning, developmental, behavioral, emotional needs or ever been evaluated for special education services
No formal diagnosis or evaluation has been completed; however, child has demonstrated a pattern of behavioral and/or learning challenges that you think we should be aware of in order to better support them.
None
Please explain.
*
If applicable, please attach or describe any documentation that would help us support your child:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
This is the end of the Child Registration. If you have more than 3 children to register, please select the first option, and we will contact you. Otherwise, select that you are done.
*
I have more than 3 children and need to be contacted.
I am done with registration.
Back
Next
Student Technology Needs
Each student K-8 at TASI must have a Laptop/Chromebook and headset. You may use your own device or indicate technology needs below. Chromebooks are $135 each. One headset is provided free per student; replacements will be invoiced if needed.
Will your child(ren) require a Chromebook for the school year? (A $135 fee applies for each Chromebook, and a separate invoice will be provided for payment).
*
Yes
No
N/A
How many total Chromebooks are needed?
*
Please Select
N/A
1
2
3
4
Will your child(ren) need a headset for the school year? (The first headset for each child is free; replacement headsets will be invoiced).
*
Yes
No
N/A
How many total headsets are needed?
*
Please Select
N/A
1
2
3
4
Submit
Should be Empty: