Student Information
First name *
Middle name *
Last name *
Date of birth *
Gender *
— select —
Male
Female
Grade level
— select —
KG
1
2
3
4
5
6
7
8
9
10
11
12
Current full-time school
Quran level
Arabic level
Allergies
Medical conditions or medication
*
Subjects taught: Quran, Arabic, Islamic Studies, Hadeeth.
Parent / Guardian
First name *
Last name *
Relationship to student
Mother
Father
Guardian
Email *
Mobile phone *
Alternate phone
Street address *
City *
State *
ZIP code *
Preferred contact method
Email
Text message
Both
Adults authorised to pick up this child/these children
Sunday School & Youth Leadership Payment
Select the tuition option that matches your family, and how you would like to pay. *
First Child — Monthly
$80.00
per month, billed monthly for the school year
+ $50.00 one-time registration fee = $130.00 total
First Child — Full Tuition
$575.00
+ $50.00 one-time registration fee = $625.00 total
Sibling (2 children) — Monthly
$130.00
per month, billed monthly for the school year
+ $50.00 one-time registration fee = $180.00 total
Sibling (2 children) — Full Tuition
$880.00
+ $50.00 one-time registration fee = $930.00 total
Family of 3 — Monthly
$160.00
per month, billed monthly for the school year
+ $50.00 one-time registration fee = $210.00 total
Family of 3 — Full Tuition
$1,080.00
+ $50.00 one-time registration fee = $1,130.00 total
Max Family (4 or more children) — Monthly
$200.00
per month, billed monthly for the school year
+ $50.00 one-time registration fee = $250.00 total
Max Family (4 or more children) — Full Tuition
$1,350.00
+ $50.00 one-time registration fee = $1,400.00 total
Each tuition amount above matches the amount set on the Settings page. A one-time registration fee of $50.00 is added once per family.
Method of payment *
— select —
PayPal
Credit / Debit Card (Stripe)
Check
Other / Recorded by Office
If card or PayPal is fully set up, choosing it will take you to that payment page right after you click the button below — nothing is charged here, and your application is only submitted once that payment is verified and you are brought back to this page. QuickBooks payers receive an emailed invoice from QuickBooks. Cash and check are paid at the school office.
Anything else the school should know