MAQ Academy Registration 2026/27

MAQ Academy Registration 2026/27

This form is for parents or guardians to enroll their school aged children (ages 5-16) into Masjid Al-Qur'an's 2026/2027 Sunday School program. Classes begin at 10:30am on Sunday to 1:30pm during the academic school year.
Check Box to Confirm
- Parent/Guardian 1
  
  First NameLast Name
- Contact Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email Address
  example@example.com
- Gender
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Parent/Guardian 2
  
  First NameLast Name
- Contact Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email Address
  example@example.com
- Gender
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Child 1
  
  First NameLast Name
- Age
- Gender
- Does the child have any known allergies?
- Specify Allergies
- Is there is anything you would like to tell us about this child?
- Child 2
  
  First NameLast Name
- Age
- Gender
- Does the child have any known allergies?
- Specify Allergies
- Is there anything you would like to tell us about this child?
- Child 3
  
  First NameLast Name
- Age
- Gender
- Does the child have any known allergies?
- Specify Allergies
- Is there anything you would like to tell us about this child?
- Child 4
  
  First NameLast Name
- Age
- Gender
- Does the child have any known allergies?
- Specify Allergies
- Is there anything you would like to tell us about this child?
- Emergency Contact
  
  Please list a contact other than the adult registering the child(ren).
- Name
  
  First NameLast Name
- Relationship To Children
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Primary Care Provider (Doctor or Clinic Name)
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Medical Insurance Provider
- BY SIGNING BELOW give permission for my child/children to participate in the Sunday School at Masjid al Quran. Having read and understood all the information on this form, and agree to all terms.
- Signature
- Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Should be Empty:

MAQ Academy Registration 2026/27

Emergency Contact