NAYLULMARAAM STUDENT REGISTRATION

Please complete all the info to register.

How much would you like to donate? As a contributor to Naylulmaraam Islamic Center we make sure your donation goes directly to supporting our cause. Thank you for your generosity!

$ Donation Amount:

Plus an additional to cover gateway fees.

Make this donation monthly

Who's registering today?

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Personal Info

First Name *

Last Name

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Phone

Student Information

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Medical Allergies

Parent/Gardian name

Parent/Gardian Phone

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Donation Total: $80 Monthly