Maktab Waitlist Registration Form
Parents will be contacted once a spot becomes available. First come first serve basis.
Parent & Student Information
Parents Name
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Child Name
*
First Name
Last Name
Gender
Male
Female
Childs Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Childs Level of Reading
New
Beginner
Intermediate
Advanced
Submit
Should be Empty: