Form Submission is restrictedForm is successfully submitted. Thank you!Join NowCOURSE SELECTIONCONTACT INFORMATIONPlease SelectPlease SelectLite LoadStandardIntensiveSuper-IntensiveThe tuition plan you have selected is:*There is an additional discount that will be applied for registering multiple students from the same family.Please SelectPlease SelectQuranic Fushaa Arabic (for Adults)Quranic Recitation & Memorization (for Adults)½ & ½ – Both Arabic and QuranSpecialized Islamic Sciences and Shahadaat (Certifications)Al Azhar College Predatory CourseSpecialized Quranic Course – Qira’aat (Variant Ways of Recitation)Qur’anic Fushaa Arabic (for Children)Quranic Recitation & Memorization (for Children)Pre-Azhar Islamic StudiesThe course selection you have selected is:*Student’s ability to read Arabic:What is the Students Level of Arabic :Preferred Days and Times:*Please SelectPlease SelectConvention/Bazaar.Announcement in Masjid/Friday Khutbah.Friend/family, My Muallim Student. Online (search), or Social Media.How did you hear about My Muallim? ( First Name - last Name )*(age/birthday*Name of Parent(If a parent, put your name)First Name(s) of student(s) if parent is registeringName(age/birthdayName(age/birthdayName(age/birthdayPhone Number*Primary contactPhone number*Secondary NumberNumber to Contact Social Media*Number to Contact via WhatsApp, Viber or TelegramEmail (for billing /link to classes)*Address ( Postal Code )*Please SelectPlease SelectEastern (EST)Central (CST)Mountain (MST)Pacific (PST)Other (if outside of U.S.A.) Time Zone SubmitPowered by ARForms
