Grade 5 - KIDS Program Registration

KIDS Program

Grade 5 – Registration Form

Student's Full Name (Last Name, First Name, Middle Initial) *Ensure your name follows this format: Bayan, Ahmad A. (Last Name, First Name MI.)

Gender *

Age *

Guardian’s Name (Last Name, First Name, Middle Initial) *Ensure your name follows this format: Bayan, Ahmad A. (Last Name, First Name MI.)

Student’s/Guardian’s Email Address *(Gmail only) Provide a valid Gmail address to receive all official updates from Al-Qur'an Academy.

Guardian's Contact Number *We only accept phone numbers (+63) from the Philippines for direct communication.

Student’s/Guardian's Facebook Account

Guardian’s Facebook Name *

Student’s Facebook Name (Put N/A if none) *

Current City/Municipality you're in *

New or Old Student *

Student's Personal Information

Birth Date *

Street/Lot *

City

Country

Ethnicity *

Educational Background

Current or Highest level of secular (non-islamic) education *

Current or Highest level of Islamic education (Write N/A if none) *

Name of Islamic Institution/Madrasah previously attended (Write N/A if none) *

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