ALHIDAYA School Please enable JavaScript in your browser to complete this form.How many students do you want to register? *OneTwoThreeFourRegistration fee is $50 per student is non Refundable Student 1Student Name *FirstLastLevelStudent Age *4456789101112131415161718GenderMaleFemaleStudent 2Student Name *FirstLastLevelStudent Age *4456789101112131415161718GenderMaleFemaleStudent 3Student Name *FirstLastLevelStudent Age *4456789101112131415161718GenderMaleFemaleStudent 4Student Name *FirstLastLevelStudent Age *4456789101112131415161718GenderMaleFemaleParent InformationParent Name *FirstLastHome AddressHome PhoneEmergency Contact NameParent Email *Cell *Emergency Contact RelationshipTuitionFirst Child $50 Registration $450 + book & feeSecond Child $50 Registration $350+ book& feeThird Child $50 Registration $250+ book fee Fourth Child $50 Registration Only book and feeTotal Including Registration Fee: $50 each$0.00Payment Method *Credit CardBank CheckCashStripe Credit Card * Contact Information Email: co********************@gm***.com Phone: (978) 377-0036 Address: Haverhill Mosque 36 Amesbury road, Haverhill MA 01832 Submit13023
