Student Registration

Now Open

Registration Open Period

April 15th - May 30th, 2025

Or until seats are filled. Registration is based on first come first serve

Student Registration Form

Our mission is to offer a well-rounded education that integrates an Islamic perspective into the academic curriculum. We are currently accepting registrations for PreK to kindergarten Grade for the 2025-2026 academic year, with classes set to begin on September 30th. Please ensure that you complete this form in its entirety.

A one-time registration fee of $150 is required for all students. This fee is non-refundable and must be paid at the time of registration.

Important Note:

Registration is contingent upon the school obtaining all required permits and approvals from the city. Enrollment is not guaranteed until official authorization is secured, and the final contract is completed with the Islami Center of Boulder.

Parents are advised to have an alternative plan in place and to avoid making relocation arrangements until an agreement with the city and ICB is finalized, and the school is confirmed to be operational.

Student Information

Student Name

First Name

Last Name

Date of Birth

YYYY

Gender

Male

Female

Language Spoken At Home

Registration Preference

Please select your preferred schedule. Note that availability is based on seats, and your preferred option may not be guaranteed. kindergarten students are required to attend 5 days per week.

What is your preferred registration weekly schedule?

Parent/Guardian Information

Father's Name

First Name

Last Name

Mother's Name

First Name

Last Name

Email Address

Please make sure to use your main email address. Our team will contact you for updates regarding the shool.

Phone Number

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Occupation (Father's)

Occupation (Mother's)

Educational Background (Highest degree obtained, Mother)

Educational Background (Highest degree obtained, Father)

Additional Student Information

Previous School Attended

Years at Previous School

Reason for Leaving Previous School

Student Hobbies and Interests

We would love to learn more about your kiddo's hobbies to make him/her feel more comfortable at school.

Medical Conditions (Yes/No; if Yes, provide details)

Allergies (Yes/No; if Yes, provide details)

Special Educational Needs (Yes/No; if Yes, provide details)

Please note that MSC will not be able to accommodate special needs children at the first 2 years of establishing the school due to the lack of staffing and funding availability. If you have a special need student, please contact us to discuss options.

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone Number

(###)

###

####

Conditional Registration

Please note that registration is pending final approval from the city to start school operations. Our goal is to begin classes on September 15, 2025. However, in the event of any potential delays, we strongly recommend that you have a backup plan in place for your child’s education. We advise keeping your child enrolled in another school until we receive the necessary approval. Rest assured, we will keep you informed with any updates regarding the city’s approval process. Thank you for your understanding and support. The registration fee will be returned to you incases of delays.

I understand and agree to have plan B for my child

How Did You Hear About Us? (Referral, Social Media, Website, etc.)

Comments or Additional Information (Open text field)

Student Registration

Now Open

Registration Open Period

April 15th - May 30th, 2025

Student Registration Form

Important Note:

$150 Application Fee

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