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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
Application Tuition Payment

The amount shown includes a 3% payment processing fee.

Select the Program(s) You Are Paying For

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