Arabic Class Adult Registration Form

Please complete the Form below then click "Submit":

* indicates required field

First Name:*

Last Name:*

Email:*

Gender:*

Male
Female

Current Level of Arabic:*

None
Beginner
Intermediate
Expert

Street Address:*

City:*

Postal Code:*

Home Phone Number:*

Work Phone Number:

Cell Number:

Medical Information:

Health Card Number:*

Allergies:

Siblings Attending the Arabic Class:

Name(1):

Name(2):

CAPTCHA Code:*

Billing & payment

You will be billed electronically for tuition and fees. You will not receive a paper bill. An email notice will be sent to your email account provided above. Please allow 72 hours for processing your Registration.

Payment In Full

You are required to pay the course fees in full prior to the beginning of your course by cheque payable to Zawiya Fellowship 53 Victoria Avenue, Cambridge, ON N1S 1X2. There may be a charged of $35 for Cancellation fee.

Online Arabic Language Registration Form

Arabic Class Adult Registration Form

Medical Information:

Siblings Attending the Arabic Class:

Billing & payment

Payment In Full