26-27 After School Foundation Registration

26-27 After School Foundation

New Student Form | Ages 5-12 | Mon-Thurs | 5pm-7pm
Please note that you will be required to submit the following documents at the end of this form.

Be sure to have all the required information and paperwork ready before you begin the application process. You may submit them through this form OR bring it with you to our registration office.

1. Copy of passport or birth certificate of the child

2. Valid ID of parent or guardian

3. Child's latest report card from school

4. Current immunization records

Ensure that each document is clear and readable. Submit clear images.

Missing documents or incorrect documentation will delay the review process.
STUDENT INFORMATION
How many children are you enrolling?
2nd Child*
3rd Child*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

PRESENT RELIGIOUS EDUCATION (If any)
Name of Institute Attended
Duration Attended
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Number of Times Nazirah Has Been Completed
Visual recital with looking inside the Quran
Amount of Quran Memorized
Reason for Leaving The School

PARENT/GUARDIAN INFORMATION
Father*

First NameLast Name
Mother*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Main Language*
Father's Email*
example@example.com
Mother's Email*
example@example.com
Father's Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Mother's Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Father's Occupation/Job*
Mother's Occupation/Job*

26-27 After School Foundation