AL HUDA WEEKEND SCHOOL

New Session 2019 – 2020

REGISTRATION – LEVEL 6

Girls and Boys, Ages 10-12 years

Brightening young hearts with the light of Islam and become Good Muslims!

REGISTER HERE FOR LEVEL 6:

Name of Child*
First Last
Child's Gender*
- Male
- Female
Child's Date of Birth*
MM
DD
YYYY
Parent's Name*
First Last
Parent's Phone #*
Parent's Email*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Emergency Contact
Emergency Contact Name*
First Last
Emergency Contact Phone #*
Relation*