Little Scholars Registration Form

Little Scholars Interest Form

Thank you for your interest in our Little Scholars pilot program, an early childhood Madrasah program designed for kindergarten-age children (must be at least 4 years old). The program nurtures strong Islamic identity, foundational academics, and social-emotional growth through a warm, structured, and tarbiya-centered environment.
Parent Information
Parent/Guardian #1 - Full Name*

First NameMiddle NameLast Name
E-mail (Parent/Guardian #1)*
example@example.com
Home/Work # (Parent/Guardian #1)
Cell Number (Parent/Guardian #1)*
Preferred Method of Contact*
Address (Parent/Guardian #1)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian #2 - Full Name

First NameMiddle NameLast Name
E-mail (Parent/Guardian #2)
example@example.com
Cell Number (Parent/Guardian #2)
Home/Work # (Parent/Guardian #2)
Preferred Method of Contact
Address (Parent/Guardian #2)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Student Prerequisite Screening

Children must be kindergarten age (at least 4) for our madrasah program. Children under 4 will be waitlisted.
Will your child(ren) be at least 4 years old as of March 2026?*

YesNo
Jazakum Allahu khair for your interest in our Little Scholars Madrasah Program. At this time, children must be at least 4 years old to participate. We still encourage you to complete the form, as your child will be placed on our priority list, and once they meet the age requirement, you will be among the first families we reach out to, inshaAllah.

Little Scholars Code of Conduct Agreement
Our Little Scholars Madrasah Program is designed to teach young children in a safe, loving, and tarbiya-centered environment. The expectations below are shared with families to support consistency between home and program, recognizing that children at this age are still learning and developing self-regulation.

1. Respecting Islamic Values and the Masjid
Children are guided to respect the masjid through appropriate dress, gentle behavior, and care for the space. Kind words and actions are encouraged at all times when interacting with peers, Tarbiya Instructors, Tarbiya Coaches, and staff. Children are taught to avoid hurtful language or behavior and to practice patience, sharing, and respect.

2. Learning, Effort, and Participation
Children are encouraged to participate in lessons, play-based activities, and group routines to the best of their ability. Learning is supported through honesty, effort, and curiosity, with guidance provided as children build early academic and social skills. Children are gently encouraged to ask for help, express needs, and try again when something feels challenging.

3. Care for Belongings and Shared Spaces
Children are taught to care for program materials, books, learning tools, and shared spaces. Personal belongings are handled with care, and children are guided to respect the belongings of others. Children participate in age-appropriate clean-up routines to help maintain a welcoming environment.

4. Kindness, Emotions, and Conflict Support
Children are supported in learning how to express emotions, solve problems, and navigate disagreements in calm and respectful ways. Restorative and faith-centered approaches are used to help children understand feelings, repair relationships, and learn from mistakes. Bullying, physical aggression, or repeated harmful behavior is not acceptable and will be addressed promptly through guidance and family collaboration.

5. Safety and Adult Guidance
Children are expected to follow safety rules with the support and supervision of staff, including during outdoor play and special activities. Any unsafe behavior is addressed immediately to ensure the well-being of all children. Parents are encouraged to partner with staff in reinforcing safety, routines, and positive behavior.

Parent/Guardian Acknowledgment
By signing below, I acknowledge that if my child is enrolled in the Little Scholars Madrasah Program, that these expectations are designed to support their growth, safety, and Islamic character development. I understand that ongoing concerns or repeated challenges may result in meetings with families to ensure the best interest of the child and the program community.
Signature*
Date Signed*

MonthDayYear
Date

Student Media Release Form

To celebrate and share the enriching experiences of our children, we may document moments through photography and videos. Please complete the questions below to indicate your permissions regarding how these materials may be shared.
Parent Group Sharing— Do you grant permission for photos/videos of your child(ren) to be shared within the Little Scholars Parent Group Chat on WhatsApp?*

Yes, I grant permission for photos/videos of my child(ren) to be shared within the Little Scholars Parent Group Chat on WhatsAppNo, I do NOT grant permission for photos/videos of my child(ren) to be shared within the Little Scholars Parent Group Chat on WhatsApp
Community Sharing— Do you grant permission for photos/videos of your child(ren) to be shared within the Masjid Noor group channels on WhatsApp?*

Yes, I grant permission for photos/videos of my child(ren) to be shared within the Masjid Noor group channels on WhatsAppNo, I do NOT grant permission for photos/videos of my child(ren) to be shared within the Masjid Noor group channels on WhatsApp
Promotional Content— Do you grant permission for photos/videos of your child(ren) to be used for promotional purposes (e.g., Instagram and email newsletters)?*

Yes, I grant permission for photos/videos of my child(ren) to be used for promotional purposes (e.g., Instagram and email newsletters)?No, I do NOT grant permission for photos/videos of my child(ren) to be used for promotional purposes (e.g., Instagram and email newsletters)?
Date*

MonthDayYear
Date
Parent Signature*
Should be Empty:

Little Scholars Interest Form

Parent Information

Student Prerequisite Screening

Registration Information (Child #1)

Registration Information (Child #2)

Registration Information (Child #3)

Little Scholars Code of Conduct Agreement

Student Media Release Form