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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% payment processing fee.

Select the Program(s) You Are Paying For

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