Quranic Sciences Institute (Day School)

Registration Form
Student Info:
First Name:*
Last Name:*
Middle Name:
Gender:*
Birth Date:*

Parent/Guardian Info:
Guardian Name:*
(if applicable)
Relationship
to Student:*
Phone:*
Email:*
Address:*
City:*
Province:*
Country:
Postal/Zip Code:*

Emergency Contact:
Name:
Phone Number:


Further Details
Start Date: Tuesday, September 6, 2022
End Date: Thursday, June 29, 2023
Days:
Monday:9:00 AM to 1:00 PM
Tuesday:9:00 AM to 1:00 PM
Wednesday:9:00 AM to 1:00 PM
Thursday:9:00 AM to 1:00 PM
Fees: TBD
Place: 4723 91 Ave NW, Edmonton, AB T6B 2M7
Other Info:

Please Contact Br. Mahmood Khan at 438-879-8441