Islamic Studies Diploma – Course Registration

Thank you for your interest in the Islamic Studies Diploma. This program is for boys & girls ages 14 and older. Fees are NON-REFUNDABLE. To register, student must be 14 years or older. If student is not 14, permission from Imam Fouad is REQUIRED before filling out this form. If student is less than 14 and registers without prior permission and doesn't get accepted in the program, fees will not be refunded.

Is student 14 years or older?*
- Yes
- No
Please read the above age requirement note.
Which Course(s) are you registering for?*
- Adab 101: Tadhimul Ilm - Exaltation of Knowledge - Monday $350
Total
$0.00
Student's Name*
First Last
Student's Phone Number*
Student's Email Address*
Student's Age*
School*

School or college student will be attending this academic year.
Gander*
Parent's Information
Parent's Name*
First Last
Parent's Phone Number*
Parent's Email Address*
Payment
Fees are NON-REFUNDABLE for any reason.
Total
$0.00
Credit Card Holder's Name*
First Last
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Credit Card

American Express
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Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Islamic Studies Diploma – Course Registration

Parent's Information

Payment