Weekend school registration

Enroll your child in our weekend AM class, weekend noon class or after-school program. Please complete every section and review the school rules.

ٱقْرَأْ بِٱسْمِ رَبِّكَ ٱلَّذِى خَلَقَ

“Read in the name of your Lord who created.” — Surah Al-'Alaq 96:1

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Program selection

Choose the class or classes for your child.

Program selection — check all that apply *

Weekend AM classWeekend noon classAfter-school program

Teacher's name (if known)

Student information

First name *

Last name *

Date of birth *

Place of birth

Street address *

Apartment #

City *

State *

ZIP code *

Home telephone

Parent information

Please enter at least one parent and one phone number.

Father's name

Cell phone

Mother's name

Cell phone

Email address (so we can reach you)

School rules & parent acknowledgment

All students must observe the following rules and regulations.

01
Dress and designated areas. All girls must wear hijab and dress appropriately. Girls are not permitted in boys' classrooms or designated areas, and boys are not permitted in girls' classrooms or designated areas.
02
Appropriate attire. All boys must dress appropriately. Sagging pants that expose underwear are not allowed. A long abaya is recommended.
03
Punctuality. Students arriving more than 15 minutes late will not be allowed in class.
04
Electronic devices. Cell phones, games, and other electronic devices are not allowed during class.
05
Conduct. Disruptive behavior and fighting will not be tolerated inside the Masjid at any time.
06
Monthly fee. The fee is $20.00 per month and must be paid no later than the 15th of every month. Students owing more than two months of fees will not be allowed in class until the balance is paid in full.

By signing below, I confirm that I have read and discussed these rules with my child/children. We understand that a violation of any of these rules will result in the student being sent home for that day.

I have read and discussed these rules with my child/children and agree to them. *

Parent's signature *

Date

October 8, 2026

371 East 166th Street, Bronx, NY 10456 · Tel: (718) 293-4475 · Fax: (718) 293-4410