After School Program Enrollment Enroll Now! This form is for enrollment into the After School Programs. Monday-Fridays 3:00 pm-5:00 pm. Registration Form NameDate of BirthMonthDayYearStudent's GenderMaleFemaleStreet AddressCityState/ProvinceZIP / Postal CodePhone NumberAlternate PhoneEmail AddressSchool:GradeParent’s Full Name:Phone Number:Email Address:SELECT YOUR MONTHLY PROGRAM COURSEAfter School Program- $175/Month/Course (Home work / English as a Second Language / Hifz)Parent Signature:Submit Now
