Student Registration

Service – Registration

Student Registration

Ikhlas Academy Registration Form

When: Sundays. Starting September 10, 2023.
Hours: 10:00am – 1:00am
Where: Masjid Ikhlas
Cost: $200/student for the entire school year.
Curriculum will be provided.

Please submit a separate form for each student. When you’ve entered your LAST student’s information, use the link at the end of the form to make your payment through Flipcause. Jazzakum Allahu Khairan.

First Name

Last Name

Student's Age

Current Grade

Have you attended Ikhlas Academy before?

yes no

If yes, then which level?

What do you want to learn?

What is your child's level of Quran?

Beginner (Does not know any letters or sound) Beginner 2 (Recognizes some letters and sounds but can not put them together) Intermediate (Can recognize the letters and sounds and is beginning to put sounds together) Advance (Able to read on their own)

Parent's/ Guardian's Email

Secondary Email

Mother's/ Guardian's Name

Father's/ Guardian's Name

Primary Phone Number

Alternate Phone Number

City of Residence?

Burmese Rohingya Community of Colorado