Re-Enrollment Form

Courses Overview

Welcome back! Please complete this form to secure your child’s spot for the upcoming school year. Re-enrollment requires updating your contact details, selecting your program (Full-Time, Part-Time, or After School), and submitting the $75 registration fee. Please note that placements cannot be finalized until all outstanding balances from the 2025–2026 term are cleared.

Jazakumullahu Khairan for your continued partnership!

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Student Full Name

Date of Birth

Gender

Male
Female

Address

Address Line 1

Address Line 2

City

State

Zip Code

Parent Name

Contact

Program Type Enrolling In

Single Item

Price: $75.00

Payment Reference Number / Transaction ID

Name In Reference

Acknowledgments & Policy Agreements

Previous Balance Policy *
I acknowledge that my child’s spot for the 2026-2027 school year will not be guaranteed until all outstanding balances for the 2025-2026 term are paid in full by Tuesday, July 14th, 2026.

Payment Agreement Confirmation *
I understand that this re-enrollment is not complete and a spot is not locked in until the $75 registration fee is fully processed.

Parent/Guardian Electronic Signature *

Date *