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*Username: *Passwrod:
 
*Student First Name: *Student Last Name:
*Date of Birth: MM/DD/YYYY Gender: MaleFemale
 
Languages other than English spoken at home
Sibling/s attending this school YesNo Is this a gifted child according to his/her school? YesNo
 
*Parents First Name: *Parents Last Name:
Address: City, State and Zip: , ,
*Phone #: (999) 999-9999 Work Phone #: (999) 999-9999
Cell Phone #: (999) 999-9999 Fax #: (999) 999-9999
*Email Address: Alternate Email:
 
 
Please check the appropriate ethnicity
African Asian Latino European/Caucasian Native Africa Sub Continent Middle East         Other:
 
Please tell us about the existing knowledge level of this child. check appropriate boxes
Arabic Recognizes some letters Remembers most letters and write some letters Write All letters
Can Join letters and make words Knows Tashkeelaat (Fatha, Kasra, Shaddah, Maddah...) Reads an ayah on his/her own
Islamic Studies They know simple manners (greeting, supplication for sneezing) Some components of wudu and prayers
Pillars of Islam and Articles of Faith Some stories of Seerah and Sahabah Biographies
Some stories from Quran and Hadith
Quran Have memorized one short surah Have memorized six Ayahs Have memorized 2/3 short Surahs
Have memorized one long Surah Have memorized 3/5 long Surahs Have memorized one Juz
 
Dear Parents: Please sign up for following any or all of 6 activity days to help us out
Field Trip 1 (Late June) Field Trip 2 (Mid July)
Presentation Day: Saturday July 28th 2007 (10 AM - 12 PM)
 
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