Islamic Studies Diploma Registration

Thank you for your interest in the Islamic Studies Diploma program, open to boys and girls ages 14 and up. Please note that all fees are non-refundable.

To register, students must be 14 years or older. If a student is under 14, they must first obtain permission from Imam Fuad before completing this form. Please be aware that if a student under 14 registers without prior permission and is not accepted into the program, fees will not be refunded.

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Student Name*

First NameLast Name

Student Phone Number*

Student Email*

example@example.com

Gender*

MaleFemale

Age*

School*

School or college student is attending this academic year

First Parent Name*

First NameLast Name

First Parent Phone*

Please enter a valid phone number.

First Parent Email*

example@example.com

Second Parent Information

Islamic Studies Diploma Course*

Fiqh 102

$350

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Photo Release Authorization*

I grant permission for photos or videos taken of me or my child(ren) during MAS Bay Area events/classes/camps/activities to be used on the MAS Bay Area website, in brochures, on social media, and in newsletters for promotional, educational, or informational purposes.I do not give permission to be photographed, and if I am, I request that my photo not be published.

Liability Waiver*

By submitting this form, I release and agree to indemnify and hold harmless MAS Bay Area and its officers, employees, agents, and volunteers from any liability, claims, damages, or costs arising from my and/or my child’s participation in MAS Bay Area events, classes, camps, and activities, whether conducted at MAS Bay Area Office or any other sites where such events may take place.

Fiqh 102 Registration

Student Information

Parent Information