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Bilal Academy
Bilal Education School & online Academy Services
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Student First Name
Student Middle Name
Student Last Name
Student Date of Birth
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Sibling First Name
Sibling Middle Name
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Parent Info
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First Name
Middle Name
Last Name
Parent 1 Phone
Parent 1 Email
Parent 1 Address
Address Line 1
Address Line 2
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First Name
Middle Name
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Parent 2 Phone
Parent 2 Email
Emergency Contact
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Programs
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Sunday School & Leadership Program
Quran Memorization
Summer Camp
Sunday School & Youth LeadershipPayment
First Child Monthly
First Child Full Tuition
Sibling Monthly
Sibling Full Tuition
family Of 3 Monthly
Family Of 3 Full Tuition
Max Family Monthly
Max Family Monthly
Quran Memorization Payment
First Child Monthly
First Child Full Tuition
Sibling Monthly
Sibling Full Tuition
family Of 3 Monthly
Family Of 3 Full Tuition
Max Family Monthly
Max Family Monthly
Summer Camp Payment
First Child Monthly
First Child Full Tuition
Sibling Monthly
Sibling Full Tuition
family Of 3 Monthly
Family Of 3 Full Tuition
Max Family Monthly
Max Family Monthly
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Payment Method
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Offline Payment
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Pay via ZelleZelle Phone Number: (848) 986-7735Registered Name: The Muslim Socity Of Jersey ShorePlease complete the Zelle transfer in your banking app before or after submitting this form.
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