Maktab Pre-registration Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.123Parent/Guardian Information Name *FirstLastEmail *Phone *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHow many children are you registering? *123NextStudent Information Child 1Name *FirstLastDate of Birth *Current School *Current Grade Level *Child 2Name *FirstLastDate of Birth *Current School *Child 3Name *FirstLastDate of Birth *Current School *Current Grade Level *PreviousNextAdditional Information What is the MAIN reason you want your child to attend the Burhan Academy evening or Sunday program? *Read the QuranMemorize QuranIslamic StudiesLearn ArabicWhat level of Quran is your child at? (Check all that apply) *Knows Arabic alphabetsKnows Harakaat (dumma/fatha/kasra)Reads with Tajweed RulesHas Memorized SurahsList which surahs your child has memorized already *Is there anything specific you need us to know about your child?Can you bring your child/children for an assessment on Wed. 11/6 between 5-6pm? *YesNoAssessment will be between 5-6pm at the Abu Hanifa Center at 316 Kimball St, Elgin, IL 60120. Each student is required to complete an assessment before registration. This is so we can group students in the appropriate proficiency level and ensure we have the right resources available for them. PreviousSubmit
