QSI Tajweed Course

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:

Friday, June 10, 2016

End Date:

Saturday, June 25, 2016

Days:

Friday:

5:30 PM

to

6:30 AM

Fees:

*

Place:

4416 36 Ave NW, Edmonton, AB T6L 3S1

Other Info: