Masjid Al-Mumin

Weekend School
Application

Please complete all sections of this application. Once submitted, our team will review it and contact you regarding next steps, in sha' Allah.

Student Information

Tell us about the student applying.

Parent / Guardian Information

Primary contact for this student.

Emergency Contact

Someone we can reach in case of emergency, other than the parent/guardian above.

Medical Information

Leave blank if not applicable.

Agreements & Signature

By submitting this application, I confirm that:

  • All information provided is accurate and complete to the best of my knowledge.
  • I understand this is an application only and does not guarantee enrollment.
  • I give permission for staff to administer first aid if needed.
  • I agree to the school's code of conduct and Islamic behavioral expectations.
  • I understand that fees are due upon confirmed enrollment.