Al-Farooq Elite Academy

Enrollment Application Form • 2026–2027

Student Information

Student First Name *

Student Last Name *

Date of Birth *

Grade Applying For *

Gender

Previous School / Daycare

Parent / Guardian Information

Parent / Guardian Name *

Relationship to Student *

Phone Number *

Email Address *

Home Address *

Emergency Contact

Emergency Contact Name *

Emergency Contact Phone *

Health & Learning Information

Medical Conditions, Allergies, or Medications

Any Learning Needs, IEP, Speech, Behavior, or Academic Concerns?

Program Interest

Interested in Qur’an / Arabic Program?

Interested in After-School Care?

Acknowledgment

I understand that submitting this form does not guarantee admission.

I understand that seats are limited to 10 students per class.

I understand that the school may request documents, assessment, interview, and orientation before final enrollment.

After submitting this form, Al-Farooq Elite Academy will contact you regarding the next steps, required documents, tuition information, and orientation.

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