Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. – Step 1 of 12Al-Noor Qur'an AcademySchool year 2025-2026 Registration Now Open Registration Ends: August 19, 2025 Classes begin: August 11, 2025 Tuition Fees: Part-Time (2 days/week): $50/Month or $400/School Year – Monday & Wednesday – Tuesday & Thursday Full-Time (4 days/week): $100/Month or $800/School Year – Monday Thru Thursday 10% Sibling Discount Pay Cash or Check (“ISCN”) to Sister Rawan at check-in desk Payments due before the 10th of each month, $10/day Late Fee Class Timing: 4:30pm – 6:30pm Age Group: 5 – 13 years old About the Program: * A nurturing environment for children to learn and memorize the Qur’an. * Focus on tajweed, memorization, Islamic manners (akhlaq), and daily dua’as. * Fun Islamic activities NextFather's InformationName *FirstLastRelation to the attendee: *FatherLegal GuardianPhone *Email *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePreviousNextMother's InformationName *FirstLastRelation to the attendee: *MotherLegal GuardianPhone *Email *PreviousNextClass Schedule Monday – ThursdayMonday & WednesdayTuesday & ThursdayPlease select one of the optionsPreviousNextHow many siblings are planning to enroll/register today?? (Full time) *One Child Only – $100.00Two Siblings – $190.00Three Siblings – $280.00Four Siblings – $370.00Monthly FeeHow many siblings are planning to enroll/register today?? (Part time) *One Child Only – $50.00Two Siblings – $95.00Three Siblings – $140.00Four Siblings – $185.00Monthly Fee PreviousNext1st Child DetailsName of Student (1) *FirstLastGender (1) *MaleFemaleDate of Birth (1) *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202620252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119202nd Child DetailsName of Student (2) *FirstLastGender (2) *MaleFemaleDate of Birth (2) *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202620252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119203rd Child DetailsName of Student (3) *FirstLastGender (3) *MaleFemaleDate of Birth (3) *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202620252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119204th Child DetailsName of Student (4) *FirstLastGender (4) *MaleFemaleDate of Birth (4) *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920PreviousNextEmergency Contact *FirstLastEmergency Contact Relation *MotherFatherSisterBrotherUncleAuntCousinGrand FatherGrand MotherFamily FriendEmergency contact phone number *PreviousNextMedical Release and Authorization:If you are under 18 please have a parent or guardian sign below, if you are 18 years old or above please sign your name here *Yes, I have read and accepted the termsNo, I do not consentI hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of myself and/or my child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the my and/or my child’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for myself and/or my child. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to ISCN and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the registered season. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of myself and/or my child.Signature * Clear Signature PreviousNextISCN School Media Release Form:If you are under 18 please have a parent or guardian sign below, if you are 18 years old or above please sign your name here *Yes, I have read and accepted the termsNo, I do not consentI, the undersigned, hereby grant permission to the Islamic Society of Corona-Norco (ISCN) the right to use my full name, biography, photo/video image, likeness, or audio recording of me. I also grant permission to use my picture, photograph, silhouette, and other reproductions of my physical likeness in connection with the unlimited distribution, advertising, promotion, exhibition, exploitation, and use throughout the world and in perpetuity on whatever media is known or hereafter devised. By signing below, I agree that I will not assert, maintain or consent to any claim, action, suit or demand, nor will I consent to others bringing any claim, action, suit, or demand on my behalf of any kind whatsoever against ISCN, including but not limited to, those grounded upon invasion of privacy, rights or publicity, or other civil rights, or for any other reason in connection with the authorized use of my physical likeness and sound in connection with ISCN’s programs that I attend or participate in, online and/or in-person. I hereby release ISCN, its directors, officers, successors and assigns from and against any and all claims, liability, demands, actions, causes of action(s), costs, expenses, and damages whatsoever, at law or in equity, known or unknown, anticipated or unanticipated, which I ever had, now have, or may, shall or hereafter have by reason, matter, cause, or thing arising out of the rights granted to ISCN herein. Signature * Clear Signature PreviousNextInformed Consent and Acknowledgement: If you are under 18 please have a parent or guardian sign below, if you are 18 years old or above please sign your name here *Yes, I have read and accepted the termsNo, I do not consentI hereby give my approval for myself and/or my child’s participation in any and all activities prepared by ISCN during the selected activity. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless ISCN and all its respective officers, agents, and representatives from any and all liability for injuries to myself and/or my child arising out of traveling to, participating in, or returning from the selected activity sessions. In case of injury to myself and/or my child, I hereby waive all claims against ISCN including all youth leaders and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. Signature Clear Signature PreviousNextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousNextPreviousSubmit