SUBJECTS:

Masjid Al-Baqi Maktab Registration

Masjid Al-Baqi Maktab Registration

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Please fill the details below to add your child(ren) to our waiting list. Please add the information for Father, Mother and Emergency contact. Maktab Fees has been subsidized to $95 / Month per child. Actual cost to Masjid Al-Baqi is $115/child per month. If you are interested in paying the full amount, you can select the option on the form. Registration Fees is $50 per child and will cover the cost of books and supplies. 

* denotes required field
Autofill: Father Mother Brother Sister
If you already have an account and a password, you can skip this and leave it blank. Otherwise you should set your password now to login to the parent portal now.

Students

 Student #1:
 Surname:
D.O.B:
Gender:
 Email:
Enroll:
Weekday Evenings Maktab program
Add medical info/notes
Prior Islamic Education
Would you like to pay the actual cost of $115 per month?

Contacts

You are the primary contact. You can add more contacts below.
Additional Contact #1
 Contact Name:
 Email:
 Tel.:
 Parent Portal Password:
 Confirm:
 Mobile:
 Alt. Mob.:
Relation:
Type:

Registration Form