Full-Time Tahfiz

Preliminary Registration

Jazak’Allah for your interest in the Al-Ansaar Islamic Foundation Full-Time Tahfiz Program. Please complete this preliminary registration form for each child you wish to register. Once submitted, our team will review your application and contact eligible families regarding the next steps in the admissions process, insha’Allah.

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Parent/Guardian Information

Parent/Guardian Name*

Cell Phone*

Home Phone Number

Email*

Home Address*

Mailing Address

Children Information

How many children are you planning to register?*

Child 1 Information

Child 1 Information*

Child Date of Birth*

Child's Gender*

Applying for:*

Child 2 Information

Child 2 Date of Birth*

Child 2 Gender*

Applying for:*

Child 3 Information

Child 3 Date of Birth*

Child 3 Gender*

Applying for:*

Child 4 Information

Child 4 Date of Birth*

Child 4 Gender*

Applying for:*

Child 5 Information

Child 5 Date of Birth*

Child 5 Gender*

Applying for:*

Additional Information

How did you hear about this course?*

Have any of the children listed in this registration previously been enrolled in an Al-Ansaar program?*

If yes, please indicate which child(ren) and which program(s) they attended.*

Additional Information Relevant to This Application

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