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

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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)

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