Petals of Faith Registration Form
Thank you for your interest in Petals of Faith Halaqah for preteens & teen girls! Please fill out the form carefully for registration.
Parent/ Guardian Name
*
First Name
Last Name
Parent E-mail
*
example@example.com
Parent Mobile Number
*
Format: (000) 000-0000.
Emergency contact name
*
Emergency contact Phone Number
*
Format: (000) 000-0000.
Student(s) name
*
Please type both first & last name. For multiple students, please add comas in between.
Student(s) Age
*
Please add all student ages in order.
Which Halaqah are you signing up for
*
Blooming Barakah age (8-13)
Nur Al-Qalb age (14-19)
Both (enrolling different age groups)
How did you hear about us?
Additional Comments
Submit
Should be Empty: