Parent Account Details

Please enter information about parent or legal guardian responsible for the child-student.

Student Account Details

Please enter information about the student attending the online training program.
This EMAIL will be used for ALL class activities.
If does not have own, add parents phone.

Student's Educational History Information

We need some info on the prior student's school activity.
School name.

Student's Additional Information

Which Grade You Are Enrolling In?

Kindergarden OR 1-12 OR 12 with college preparation

LEGAL DISCLAIMER

The undersigned have read and understand this application and certify that the information is complete and accurate to the best of your knowledge. The undersigned agree to communicate in writing any changes contained herein to the Office of Admission. The undersigned understand that upon discovery of inaccuracy or intentional omission of information requested herein, Al-Qalam Academy reserves the right to revoke admission.
You must agree to this policy in order to use our services.
Please sign here (parent or legal guardian):