Hifdh Policies Acknowledgment Form 2026-2027
Review the policies and confirm your understanding before submitting.
Parent Full Name
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First Name
Last Name
Parent Email
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example@example.com
Parent Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Enter full names of all your children who are enrolled in Iqra Academy's Hifdh Programs 2026-2027 (Full Time & Part Time)
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Authorized Pick Up
I assume responsibility and grant authorization for all individuals I send to pick up my child(ren) from Iqra Academy Islamic Foundation at dismissal.
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Agree
Media Release
I grant Iqra Academy permission to photograph or record my child(ren) and use these images, with or without names, for promotional and/or educational purposes. I release Iqra Academy and Islamic Foundation, its board, staff, agents, and representatives, from any claims related to the use of these images.
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Agree
Disagree
Medicinal Release
I acknowledge that Iqra Academy Islamic Foundation shall occur no liability for any damage, injury, or death resulting directly or indirectly from the administration of medicine and agree to release and indemnify the school, Masjid, and it's employees harmless from any claims, demands, or causes of action relating to the administration of medicine.
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Agree
Student and Parent Handbook
Iqra Acadmey Student and Parent Handbook
This statement serves as our formal acknowledgment that we have carefully read, fully understood, and agreed to adhere to all policies, rules, and expectations outlined in the Iqra Academy Student and Parent Handbook.
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Agree
Futuwwa Code of Conduct
I acknowledge that I, along with my child(ren), have carefully read, fully understood, and agreed to abide by all expectations, standards, and behavioral guidelines outlined in the Student Code of Conduct, committing ourselves to uphold the highest levels of personal honor and integrity.
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Agree
General Safety
I will not hold Iqra Academy Islamic Foundation liable for any personal injury which may occur on the premises. I agree to release and hold harmless Islamic Foundation, including its board, instructors, staff members, and facilities from any cause of action and claims, now and in the future.
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Agree
Date of Acknowledgment
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
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Acknowledge
Acknowledge
Should be Empty: