Friday Class Registration | tazkiyahacademy

First Student's First Name

First Student's Last Name

Student's Date of Birth

Allergies/Medical Conditions/Learning Barriers: Please identify any allergies or medical conditions that your child may have. Further identify any learning barriers that the teachers and administrators should know of for your child in order to provide necessary assistance in the classroom.

Second Student's First Name

Second Student's Last Name

Student's Date of Birth

Allergies/Medical Conditions/Learning Barriers: Please identify any allergies or medical conditions that your child may have. Further identify any learning barriers that the teachers and administrators should know of for your child in order to provide necessary assistance in the classroom.

Third Student's First Name

Third Student's Last Name

Student's Date of Birth

Allergies/Medical Conditions/Learning Barriers: Please identify any allergies or medical conditions that your child may have. Further identify any learning barriers that the teachers and administrators should know of for your child in order to provide necessary assistance in the classroom.

Fourth Student's First Name

Fourth Student's Last Name

Student's Date of Birth

Allergies/Medical Conditions/Learning Barriers: Please identify any allergies or medical conditions that your child may have. Further identify any learning barriers that the teachers and administrators should know of for your child in order to provide necessary assistance in the classroom.

Father's Full Name

Father's Phone Number

Father's Email Address

Mother's Full Name

Mother's Phone Number

Mother's Email Address

Primary Email

Emergency Contact's Full Name

Emergency Contact's Phone Number

Emergency Contact's Relationship with Student

Tazkiyah Friday Online Classes Registration Form for Sep 2023 to June 2024

First Student's Information

Second Student's Information

Third Student's Information

Fourth Student's Information

Parent Information

Emergency Contact

Someone other than parents, if possible

Consent

Tazkiyah Handbook

Access our Handbook here: https://docs.google.com/document/d/1jYBt89UmrDFelrodfNMcao09Dvhg9dNNTJktZhkwDgY/edit?usp=sharing

This handbook outlines the terms and conditions of our academy.
Please carefully read the handbook and agree to its terms by check-marking the box below.

Payment

Tazkiyah Friday Online Classes Registration Form for Sep 2023 to June 2024

First Student's Information

Second Student's Information

Third Student's Information

Fourth Student's Information

Parent Information

Emergency Contact

Someone other than parents, if possible

Consent

Tazkiyah Handbook

Access our Handbook here: https://docs.google.com/document/d/1jYBt89UmrDFelrodfNMcao09Dvhg9dNNTJktZhkwDgY/edit?usp=sharing This handbook outlines the terms and conditions of our academy. Please carefully read the handbook and agree to its terms by check-marking the box below.

Payment

Access our Handbook here: https://docs.google.com/document/d/1jYBt89UmrDFelrodfNMcao09Dvhg9dNNTJktZhkwDgY/edit?usp=sharing

This handbook outlines the terms and conditions of our academy.
Please carefully read the handbook and agree to its terms by check-marking the box below.