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Students (Waiting List) Registration Form

Parent's Information

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First Name

Middle Name

Last Name

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

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Home Phone

Mobile Phone *

Parent's Email Address *

Number of Children to Enroll *

Parent Annual Income *

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Student Information

First Name *

Last Name

Date of Birth *

Gender *MaleFemale

Student's Email *This will be used for the studen’t’s account

Username *

Password *

Confirm Password *

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Choose a Program *Package: Arabic Language & Islamic StudiesCurriculum SupportChoose a Program

Arabic Language Level *Beginner (Doesn’t know any Arabic)Intermediate (Knows few words, can speak but can’t read or write)Advanced (Knows many words, can speak, read and write)

Photo Usage Consent *

We at Aqra Academy are excited to share with you that we have started a web blog to showcase our students’ achievements, progress, and activities. We believe that sharing our students’ experiences with the wider community can inspire and motivate other children and parents to take an interest in education.

To make this blog more engaging and personalized, we would like to feature some of our students’ photos. We would like to request your permission to use your child’s photo on our blog, along with their first name and a brief description of the activity or achievement.

Please note that we will only use your child’s photo for the purposes of the blog, and we will not share or sell it to any third-party organizations. We will also take all necessary precautions to protect your child’s privacy and ensure their safety.If you are willing to grant us permission to use your child’s photo, please sign and date this consent form below. If you have any questions or concerns, please do not hesitate to contact us.

Thank you for your cooperation and support.

I give my consent for Aqra Academy to use my child’s photo on their website blog and social media accounts. I understand that the photo will only be used for the purposes of the blog, Aqra Academy social media accounts and that my child’s privacy and safety will be protected.

Yes, I agree with the privacy policy

Students (Waiting List) Registration Form

Parent's Information

Student Information

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