Al-Quran Institute of Memphis

Al-Quran Institute of Memphis
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     Al-Quran Institute of Memphis - Application for Admission   Student Information [Please fill out this section Only if registrant is an Adult (15yrs+)]   First Name:    _________________________    Last Name: _________________________    Home address:    _________________________________________________________________    Gender: _________ Phone #: ________________    Email address: ______________________ -------------------------------------------------------------------------------------------------------------------   Child Information [Please fill out this section Only if registrant is a Child/Youth (4 - 15yrs)]   First Name:    _________________________    Last Name: ________________________    Date of Birth: _________________ Age: _______    Gender: ___________________________    Legal Guardian’s Name: ________________    Emergency Phone Number: ___________    Parent’s Information:   Mother’s First Name:    ______________Last Name: ____________Phone number: ___________    Home address:    _________________________________________________________________    Father’s Last Name: _________________ Last Name: ___________ Phone number: _________    Permissions: Legal guardian gives permission to the institute:   1.   To provide emergency medical treatment to the student including a call to 911.   2.   To publish picture(s) & student’s accomplishments for publicity of the student & the institute.   Liabilities:   1.   The legal guardian gives his/her consent that he/she will not hold the institution liable for any accidents or any medical treatment(s)   2.   In case of any emergency, the institution will try to contact the legal guardian through the phone number(s) given above.   Signature of legal guardian: _____________________________    Date: __________________    PLEASE select one of the offered programs on the other side of the brochure   For Office Use only:   Amount Due: ___________ Amount Paid: ______________ Balance: _________________    Payment Type: □ Check □ Cash □ Credit Card □ Online      Fee Structure: Children: $60/month (first child) $50/month (2nd/3rd/4th) Working Adults: $60/month University/College full time students may receive up to 50% discount Financial assistance available for dedicated stu-dents unable to afford the full fees. Program Start Date:  August, 11th, 2014. Onsite registration: August 4th-6th, 2014 Program Location Masjid Ar-Rahman: 7906 Lowrance Rd, Memphis, TN 38125 Masjid Al-Noor: (Weekend program) 3529 Mynders Ave, Memphis, TN 38111 Program Director: Sh Mohammed Elkadi Sh Elkadi holds  Assistant Director: Hafidha Susan Ibrahim Sr. Ibrahim holds an Ijaza in Quran recitation & memorization from Sheikh Mohammed Alminisi  Administrative Director: Dr. Iqbal Shafi Online Registration: Online registration is available at Programs: [PLEASE circle the program that you/child would to enroll in]   1a: 4-6 yrs. children: Tuesday & Thursday: 11:00 am  –  1:00 pm Reading and Writing 1b: Sisters all ages: Tuesday & Thursday: 11:00 am  –  1:00 pm   Recitation with tajweed, meaning, hifz  2:   6-15 yrs. (Group I) Monday & Wednesday : 5:30 pm  –  7:00 pm (Boys & Girls) Recitation w/ tajweed, Hifz, meaning, Hadith 6-15 yrs. (Group II)   Tuesday & Thursday : 5:30 -7:00 pm (Boys & Girls) Recitation w/ tajweed, Hifz, meaning, Hadith 3: 15 yrs.+ (Adults) Monday and Wednesday : 8:30-10:00 pm   (Brothers only) Recitation w/ tajweed, Hifz, meaning, Hadith 4:   6  –  15 yrs. Saturdays or Sundays: 10:30 am  – 1:15 pm * Location: Masjid Al Noor*    Recitation w/ tajweed, Hifz, meaning, Hadith 5:  All ages Individualized, dedicated Hifz Program  Goal: to memorize the Quran in 1-2yrs inshallah   *Location: Masjid Ar-Rahman & Al-Noor* Note: Placement test will be administered for all classes


Jul 27, 2017
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