TEJAN Crowns of the Qur’an Registration For Child Information * First Name Last Name Date Of Birth MM DD YYYY Age (on start date) Gender Boy Girl Preferred Class Day Saturday Sunday Has your child attended Qur’an or Arabic classes before? Yes No Parent/Guardian Information * First Name Last Name Relationship to Child Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country How did you hear about us? Option 1 Option 2 Note Payment & Policies * - Tuition is set per session (please inquire for details). - Payments are due at registration to secure your spot. - Missed classes are non-refundable but make-ups may be arranged. I Understand I grant Karaz Kidz permission to use my child’s photo/video for educational and marketing purposes. * Yes No I acknowledge that Karaz Kidz will provide a safe, supportive environment and that I am responsible for dropping off and picking up my child on time. * Yes I have read and agree to the program policies. * Yes Thank you!