2022-23 After School Program for Girls

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Email *

Name of student *

What grade is the student in? *

What is the age of the student? *

Name of School that Student Attends *

Name of Parent or Guardian *

Phone Number of Parent or Guardian *

Email Address of Parent or Guardian *

Name of 2nd Parent or Guardian, or Authorized Emergency Contact Different from above. *

Phone Number of 2nd Parent or Guardian or Authorized Emergency Contact *

Email of 2nd Parent or Guardian *

If you chose Class in Person, please select one of the following *

3:30pm to 5pm

4pm to 6pm

Tuition is $150 per child per month. Please choose method of payment. Payment is due by the 5th of every month *

via Zelle using dqfoundation@gmail.com

mail a check to Darul Qur'an Foundation, P.O. Box 1755, Ballwin, MO 63011

set up automatic monthly debit of my bank account

I need Financial Aid-- Please note-- Only students who are Zakat Eligible will receive discounts. Proof of Zakat Eligibility will be required.

Students will be tested by teachers for fluency in reading, and then begin memorization. Please check your preference

Qaidah (beginners-- letters and vowel sounds)

Reading of the Qur'an properly (intermediate level)

Memorization of the Qur'an for extremely fluent readers

An email acknowledging registration will be sent along with the rules governing the After School Program. Please write a note that you agree to follow the rules of the program. *

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