For class details, please visit rehma.co/classes. For questions, please email firstname.lastname@example.org.
Please complete all required* fields. For students under the age of 18 years, this form should be filled by a parent.
Student's Name *
Gender * Male Female
Address Line 1 *
Address Line 2
Phone Number *
This section is applicable for students under the age of 18. Others may skip this section.
Emergency Contact Name (other than parent)
Emergency Contact Phone Number
Tuition for the academic year 2019-2020 (25 classes): $350
Early bird discount: $25 off (Must register by Sunday, Aug 4, 2019)
Select course * Urdu Group 1, Sunday afternoon (1:40 - 2:40 PM) Urdu Group 2, Sunday afternoon (1:40 - 2:40 PM)
Please read the "Terms and Conditions" before completing registration.
Agreement * I certify that all of the above information is accurate and agree to the "Terms and Conditions".
After you click submit, you will be taken to the payment page.