Quran Class Registration Parents Information Parent Full Name * Email * Phone * (###) ### #### Student Information Student Full Name * Date of Birth * MM DD YYYY What services are you interested in? * Memorization Class $125 Alphabet Reading Class $75 Additional Students (Optional) Student Full Name Date of Birth MM DD YYYY What services are you interested in? Memorization Class $125 Alphabet Reading Class $75 Student Full Name Date of Birth MM DD YYYY What services are you interested in? Memorization Class $125 Alphabet Reading Class $75 Thank you!
