Afterschool Maktab - 2025/26
New + Returning Students
Student Information
Student 1
*
First Name
Last Name
Student 1 - DOB
*
-
Month
-
Day
Year
Date
Student 2
First Name
Last Name
Student 2 - DOB
-
Month
-
Day
Year
Date
Student 3
First Name
Last Name
Student 3 - DOB
-
Month
-
Day
Year
Date
Parents/Guardian Information
Parent/Guardian 1
*
First Name
Last Name
Parent/Guardian 1 - Email
*
example@example.com
Parent/Guardian 1 - Phone No.
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian 2
First Name
Last Name
Parent/Guardian 2 - Email
example@example.com
Parent/Guardian 1 - Phone No.
Please enter a valid phone number.
Format: (000) 000-0000.
Do at least one of the two parents have WhatsApp?
Please Select
Yes
No
Submit
Should be Empty: