Complete Registration Complete RegistrationPlease complete the following information to finalize your registration with Darull Arqam Institute. Some information has already been entered based on your initial registration.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 7This registration is for:SelfSpouseCoupleChild(ren)FamilyParentsSelfSpouseBothRegistrant's Full NameFirstLastParent / Guardian NameFirstLastNumber of Children Registering--- Select Choice ---12345678910Relationship to Child(ren) *--- Select Choice ---FatherMotherGuardianOtherWhatsApp NumberSecondary NumberIf WhatsApp is not available.EmailNeighborhood *Local descriptionPreferred Language for Communication *ArabicEnglishFrenchNextRegistrant's Full NameFirstLastParent / Guardian NameFirstLastYour Program(s)Morning Programs - Full-Time LearnersMorning Programs - ArabicMorning Programs - Qur'anAfternoon - ArabicAfternoon - Qur'anAfternoon - EnglishAfternoon - Full-TimeAfternoon - Part-TimeEvening Adult Programs - Qur'anEvening Adult Programs - ArabicEvening Adult Programs - EnglishDate of Birth *Sex *MaleFemaleNationalityOccupationEmergency ContactEmergency Contact NameFirstLastRelationshipPhone NumberPreviousNextSpouse's Full NameFirstLastProgram(s)Morning Programs - Full-Time LearnersMorning Programs - ArabicMorning Programs - Qur'anAfternoon - ArabicAfternoon - Qur'anAfternoon - EnglishAfternoon - Full-TimeAfternoon - Part-TimeEvening Adult Programs - Qur'anEvening Adult Programs - ArabicEvening Adult Programs - EnglishDate of Birth *Sex *MaleFemaleNationalityOccupationPreviousNextChild 1Child's Full NameFirstLastProgram(s)Morning Programs - Full-Time LearnersMorning Programs - ArabicMorning Programs - Qur'anMorning - Stage 1 (Ages 3–6)Morning - Stage 1 (Ages 3–6) - Full-TimeAfternoon - ArabicAfternoon - Qur'anAfternoon - EnglishAfternoon - Full-TimeAfternoon - Part-TimeWeekend Programs - English - ChildrenDate of Birth *Sex *MaleFemaleNationalityCurrent School / Educational InstitutionCurrent Grade / LevelChild 2Child's Full NameFirstLastProgram(s)Morning Programs - Full-Time LearnersMorning Programs - ArabicMorning Programs - Qur'anMorning - Stage 1 (Ages 3–6)Morning - Stage 1 (Ages 3–6) - Full-TimeAfternoon - ArabicAfternoon - Qur'anAfternoon - EnglishAfternoon - Full-TimeAfternoon - Part-TimeWeekend Programs - English - ChildrenDate of Birth *Sex *MaleFemaleNationalityCurrent School / Educational InstitutionCurrent Grade / LevelChild 3Child's Full NameFirstLastProgram(s)Morning Programs - Full-Time LearnersMorning Programs - ArabicMorning Programs - Qur'anMorning - Stage 1 (Ages 3–6)Morning - Stage 1 (Ages 3–6) - Full-TimeAfternoon - ArabicAfternoon - Qur'anAfternoon - EnglishAfternoon - Full-TimeAfternoon - Part-TimeWeekend Programs - English - ChildrenDate of Birth *Sex *MaleFemaleNationalityCurrent School / Educational InstitutionCurrent Grade / LevelChild 4Child's Full NameFirstLastProgram(s)Morning Programs - Full-Time LearnersMorning Programs - ArabicMorning Programs - Qur'anMorning - Stage 1 (Ages 3–6)Morning - Stage 1 (Ages 3–6) - Full-TimeAfternoon - ArabicAfternoon - Qur'anAfternoon - EnglishAfternoon - Full-TimeAfternoon - Part-TimeWeekend Programs - English - ChildrenDate of Birth *Sex *MaleFemaleNationalityCurrent School / Educational Institution (copy)Current Grade / LevelChild 5Child's Full NameFirstLast Identification 10 Photo Program(s)Morning Programs - Full-Time LearnersMorning Programs - ArabicMorning Programs - Qur'anMorning - Stage 1 (Ages 3–6)Morning - Stage 1 (Ages 3–6) - Full-TimeAfternoon - ArabicAfternoon - Qur'anAfternoon - EnglishAfternoon - Full-TimeAfternoon - Part-TimeWeekend Programs - English - ChildrenDate of Birth *Sex *MaleFemaleNationalityCurrent School / Educational InstitutionCurrent Grade / LevelChild 6Child's Full NameFirstLastProgram(s)Morning Programs - Full-Time LearnersMorning Programs - ArabicMorning Programs - Qur'anMorning - Stage 1 (Ages 3–6)Morning - Stage 1 (Ages 3–6) - Full-TimeAfternoon - ArabicAfternoon - Qur'anAfternoon - EnglishAfternoon - Full-TimeAfternoon - Part-TimeWeekend Programs - English - ChildrenDate of Birth *Sex *MaleFemaleNationalityCurrent School / Educational InstitutionCurrent Grade / LevelChild 7Child's Full NameFirstLastProgram(s)Morning Programs - Full-Time LearnersMorning Programs - ArabicMorning Programs - Qur'anMorning - Stage 1 (Ages 3–6)Morning - Stage 1 (Ages 3–6) - Full-TimeAfternoon - ArabicAfternoon - Qur'anAfternoon - EnglishAfternoon - Full-TimeAfternoon - Part-TimeWeekend Programs - English - ChildrenDate of Birth *Sex *MaleFemaleNationalityCurrent School / Educational InstitutionCurrent Grade / LevelChild 8Child's Full NameFirstLastProgram(s)Morning Programs - Full-Time LearnersMorning Programs - ArabicMorning Programs - Qur'anMorning - Stage 1 (Ages 3–6)Morning - Stage 1 (Ages 3–6) - Full-TimeAfternoon - ArabicAfternoon - Qur'anAfternoon - EnglishAfternoon - Full-TimeAfternoon - Part-TimeWeekend Programs - English - ChildrenDate of Birth *Sex *MaleFemaleNationalityCurrent School / Educational InstitutionCurrent Grade / LevelChild 9Child's Full NameFirstLastProgram(s)Morning Programs - Full-Time LearnersMorning Programs - ArabicMorning Programs - Qur'anMorning - Stage 1 (Ages 3–6)Morning - Stage 1 (Ages 3–6) - Full-TimeAfternoon - ArabicAfternoon - Qur'anAfternoon - EnglishAfternoon - Full-TimeAfternoon - Part-TimeWeekend Programs - English - ChildrenDate of Birth *Sex *MaleFemaleNationalityCurrent School / Educational InstitutionCurrent Grade / LevelChild 10Child's Full NameFirstLastProgram(s)Morning Programs - Full-Time LearnersMorning Programs - ArabicMorning Programs - Qur'anMorning - Stage 1 (Ages 3–6)Morning - Stage 1 (Ages 3–6) - Full-TimeAfternoon - ArabicAfternoon - Qur'anAfternoon - EnglishAfternoon - Full-TimeAfternoon - Part-TimeWeekend Programs - English - ChildrenDate of Birth *Sex *MaleFemaleNationalityCurrent School / Educational InstitutionCurrent Grade / LevelPreviousNextParent / Guardian 2Full NameFirstLastWhatsApp NumberSecondary NumberIf WhatsApp is not available.Relationship to Child(ren)--- Select Choice ---FatherMotherGuardianOtherEmergency ContactFull NameFirstLastRelationship to Child(ren)Phone NumberAuthorized PickupWho is authorized to collect your child(ren)? *May the child leave with an older sibling? *YesNoNot applicablePreviousNextRegistrant's Full NameFirstLastParent / Guardian NameFirstLastIdentification Document * Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Profile Photo Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Spouse's Full NameFirstLastIdentification Document * Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Profile Photo Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Child 1FirstLastBirth Certificate or Identification Document * Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Child 1 Photo Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Child 2FirstLastBirth Certificate or Identification Document * Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Child 2 Photo Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Child 3FirstLastBirth Certificate or Identification Document * Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Child 3 Photo Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Child 4FirstLastBirth Certificate or Identification Document * Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Child 4 Photo Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Child 5FirstLastBirth Certificate or Identification Document * Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Child 5 Photo Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Child 6FirstLastBirth Certificate or Identification Document * Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Child 6 Photo Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Child 7FirstLastBirth Certificate or Identification Document * Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Child 7 Photo Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Child 8FirstLastBirth Certificate or Identification Document * Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Child 8 Photo Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Child 9FirstLastBirth Certificate or Identification Document * Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Child 9 Photo Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Child 10FirstLastBirth Certificate or Identification Document * Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Child 10 Photo Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview PreviousNextParent–Institute Cooperation I understand that my child's education requires cooperation between the family and Dar al-Arqam Institute. I agree to support my child's learning, attendance, good behavior, discipline, and positive development, and to cooperate with Institute staff when concerns or difficulties arise. Checkboxes *I understand and agree.Behavior & Discipline I understand that students are expected to follow the rules and standards of behavior of Dar al-Arqam Institute. I agree to support the Institute in addressing behavioral or disciplinary concerns and understand that parents or guardians may be contacted and expected to participate when necessary. Checkboxes *I understand and agree.Fees & Payment Commitment I understand that tuition and other applicable fees are due according to the payment schedule established by Dar al-Arqam Institute. I agree to make payments by the applicable due dates and to contact the Institute in advance if I expect difficulty making a payment on time. I understand that repeated or excessive late payment may affect continued enrollment or participation in the Institute's programs in accordance with the Institute's payment policies. Checkboxes *I understand and agree.Photo & Media Permission Dar al-Arqam Institute may occasionally take photographs or videos during classroom activities, projects, events, competitions, and other Institute activities. This permission applies specifically to photographs or videos in which you or your registered child(ren) can be personally identified, including images in which the face is visible. Such photographs or videos may be used to document and promote the Institute's educational work, including on its website, social media, advertisements, and printed or digital materials. Do you give Dar al-Arqam Institute permission to use identifiable photographs or videos of you or your registered child(ren) for these purposes? Photo & Media Permission Dar al-Arqam Institute may occasionally take photographs or videos during classroom activities, projects, events, competitions, and other Institute activities. This permission applies specifically to photographs or videos in which you can be personally identified, including images in which the face is visible. Such photographs or videos may be used to document and promote the Institute's educational work, including on its website, social media, advertisements, and printed or digital materials. Do you give Dar al-Arqam Institute permission to use identifiable photographs or videos of you for these purposes? Photo & Media Permission Dar al-Arqam Institute may occasionally take photographs or videos during classroom activities, projects, events, competitions, and other Institute activities. This permission applies specifically to photographs or videos in which you and/or your registered family members can be personally identified, including images in which the face is visible. Such photographs or videos may be used to document and promote the Institute's educational work, including on its website, social media, advertisements, and printed or digital materials. Do you give Dar al-Arqam Institute permission to use identifiable photographs or videos of you and/or your registered family members for these purposes? Checkboxes *Yes, I give permission.No, I do not give permission.Final Declaration I confirm that the information provided in this registration is accurate to the best of my knowledge. I agree to inform Dar al-Arqam Institute of important changes to the information provided and understand that enrollment and continued participation are subject to the Institute's applicable policies and requirements. Checkboxes *I confirm that the information provided is accurate, and I agree to the above.PreviousSubmit
