Registration Form

Programs

MANARAH DAY SCHOOL: Mother's Day Out Program. Ages 2-5 ALKITAB PROGRAM: Quran reading and recitation using the Qaeeda Nooraniyah system. Ages 5-12WEEKEND SCHOOL: Islamic studies, Quran recitation/memorization, Sports, etc. Ages 5-12KARATE: Self-defense training offered by licensed Muslim instructorThe Art and Science of Tajweed Al-Quran.Females 16+Simplified Instruction for Arabic and Quran. Females 16+

Student Information (Please fill out one form per family)

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Parent/Guardian Contact Information

Relationship *

FatherMotherGuardian

Emergency Contact (In case we cannot reach you)

I certify under penalty of perjury under the laws of the State of Tennessee that this information is true and correct. I understand that Memphis Islamic Center is not responsible for any injuries or loss of property that the registrant/registrants may incur while at school.*

Programs

Student Information (Please fill out one form per family)

Parent/Guardian Contact Information

Emergency Contact (In case we cannot reach you)

ARE YOU INTERESTED IN VOLUNTEERING ?

We need everyone's help, especially those of our young people

YOUR DONATION CAN MAKE A DIFFERENCE

There are several ways you can donate to this historical project

ARE YOU INTERESTED IN BEING PART OF OUR TEAM?

We need everyone's help, especially those of our young people

Memphis Islamic Center

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