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2021-2022 MUHSEN Weekend School Enrollment Form
If you wish to enroll your child in a MUHSEN Weekend school program, please fill out the following form. If you have any questions, feel free to email
school@muhsen.org
.
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* Indicates required question
Email
*
Your email
Weekend School program that your child is enrolling in (Masjid name, city/state)
*
Your answer
Child's name, First and Last
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Diagnosis
*
Your answer
Are you registered with MUHSEN?
*
yes
no
I am interested in enrolling my special child in the
*
the special needs classroom (self-contained)
the regular Saturday or Sunday School class, with assistance
Required
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