2020-2021 First Semester Registration | AL-ILM Weekend School

Parent Information

Last Name

First Name

Email Address

Phone Number

Address

Zip Code

City

State

Notes

Spouse Information

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Last Name

First Name

Phone Number

Email Address

Student Information

1.

First Name

Last Name

Date of Birth

Gender

QS Grade

IS Grade

Notes

2.

3.

4.

5.

Other Information

Tution Plan

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Payment Type

Total Amount

Amount to be Paid (2.49% added to cover what bank charges AL ILM.)

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