Quran For Young Sisters

Enrollment Application

First Name *

Last Name *

Student Date of birth *

Phone *

Email *

Address *

City *

State *

Postal Code *

Emergency Contact *

Relationship To The Student *

Emergency Contact Phone Number *

Stay at Home Policy *

Please stay at home if your experiences any of the following, to protect the safety of our students and staff:

It's essential to consult a healthcare provider for further advice and to determine if medical attention is necessary.

Acknowledgment

I agree to all the submitted terms & conditions provided by Al Noor Foundation.

By providing my phone number & email address, I agree to receive program fee invoices and any announcements by emails and text messages.

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Signature *