Prince George\'s Muslim Association

Student Name * First Last
Student Phone Number ### - ### - ####
Not Required for Under 18
Student Email

Not Required for under 18 registration
Gender *
Female Male
Age *
Father/Guardian Name First Last
Not Required for Adults 18 and above
Phone Number ### - ### - ####
Not Required for Adults 18 and above
Father/Guardian Email

Not Required for Adults 18 and above
Mother / Guardian Name First Last
Not Required for Adults 18 and above
Phone Number ### - ### - ####
Not Required for Adults 18 and above
Mother/Guardian Email

Not Required for Adults 18 and above
Class Level Preference *
Beginner Reading Intermediate Reading Proficient Reading
Important Note:

Due to Covid-19, the classes will be offered online. After your registration, other details will follow.

A placement test will be administered to all new registrants despite your choice of "Class Level Preference". You will be placed in the appropriate level based on your performance on the placement test.

Registration does not guarantee a spot. Availability of teachers is critical in determining the number of classes we are able to hold.
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