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Application Time: Approximately 10-15 minutes

Student Registration Form

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Please complete all required fields marked with an asterisk (*).

Parent / Guardian Information
Relationship to Student
Student Information
Gender
Program Selection
Select a Program
Grade Selection
Grade Applying for
Previous Education
Last Grade Completed
Can the student read the Qur’an fluently?
How much of the Qur’an has the student memorized?
Emergency Contact
Required Documents
Class Availability

Please select all time slots your student is available to attend live classes Monday–Thursday.


⚠️ All times listed below are in Eastern Time (ET). Please convert the times to your local time zone before making your selection. Your student should be available at the selected time on all four days (Monday–Thursday).

Multi choice

Note: The selected time will be used for your student's recurring live classes Monday through Thursday.

Application Tuition Payment

The amount shown includes a 3.5% payment processing fee.

Elementary School Program (Grades 1–6)
Middle & High School Program (Grades 7–12)
Homeschool Program (Grades 1–12)
Islamic Add-On (Homeschool Only)
After School Program
Hifz Program (Qur’an Memorization)
Summer Program – Academic Track

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