Masjid Al Wadood

TYPE OF PROGRAM *

Nazirah & Tajwid

Hifzul-Quran

Basic Alim

Alim

STUDENTS FULL NAME *

STREET ADDRESS AND APT#(IF ANY)

CITY *

STATE *

ZIP *

PHONE NUMBER (HOME)

PHONE NUMBER (CELL) *

BIRTH DATE

STUDENTS GENDER *

IS US CITIZEN

PREVIOUS ISLAMIC EMasjid Al WadoodATION

PARENT OR LEGAL GUARDIAN'S NAME *

STREET ADDRESS AND APT#(IF ANY)

CITY *

STATE *

ZIP *

EMAIL *

PHONE NUMBER (HOME)

PHONE NUMBER (CELL) *

ADDITIONAL COMMENTS

Make a card payment

Parent/ Guardian Agreement:
By submitting the form you agree to abide by the following conditions for admission:

All the information I have provided in the Masjid Al Wadood Registration form is true and correct to the best of my knowledge.
I agree to pay the monthly payment by 5th of the month until the amount is paid in full.
I will be responsible for any damage caused to Masjid Al Wadood property by my child, and will compensate or replace the damage with or equal value and quality.
I agree to follow and respect the Masjid Al Wadood rules and regulations and explain them to my child who attends the Darul Uloom. I understand that I am responsible for disciplining my child in case of violation of any Masjid Al Wadood rules, in conMasjid Al Wadoodt and/or academics. I understand that if any problem occurs, I will completely and fully accept the decision of Masjid Al Wadood Administration.
I give Masjid Al Wadood Administration the authority to take necessary decisions to ensure my child safety and well being when in their care. I give my child permission to participate in all activities deemed appropriate by Masjid Al Wadood.
I understand my child will be taken on field trips with my written consent.
I understand that the school will take any necessary action during an emergency situation.
I indemnify Masjid Al Wadood from any legal liability whatsoever.

REGISTRATION FORM