DMCC Summer Program 2026 🌟
Please fill out the form to enroll your child in the summer program. Include all required information. Please submit one form per child
Registration Information
Child Name
*
Child Age
*
Parent/Guardian Information
Father's Name
*
Mother's Name
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Program Expectations
What do you hope your children will gain from the Quran class?
What do you hope your children will gain from the Tarbiyah class?
Medical Information
Does your child have any allergies or medical condition that we should be aware of?
*
Class Enrollment
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( X )
Quran Session
$50.00
$
50.00
Quantity
1
Â
Â
Tarbiya Session
$50.00
$
50.00
Quantity
1
Â
Â
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
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