Quranic Sciences Institute (Day School)
Registration Form
Student Info:
First Name:*
Last Name:*
Middle Name:
Gender:*
Male
Female
Birth Date:*
Parent/Guardian Info:
Guardian Name:*
(if applicable)
Relationship
to Student:*
Father
Guardian
Mother
Self
Phone:*
Email:*
Address:*
City:*
Province:*
Country:
Postal/Zip Code:*
Emergency Contact:
Name:
Phone Number:
Further Details
Start Date:
Monday, May 9, 2022
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