Student Fiqh Course Registration Form

Student Fiqh Course Registration Form

Student Information

Student Name:

Date of Birth:    Student ID:

Parent / Guardian (If Student Is Minor)

Is the registrant under 18 years of age? Yes

Course Selection & Schedule

Select the course(s) to register for (check all that apply):

Fiqh Fundamentals (FIQH 101) — Introduction to sources, purification, prayer basics.

Applied Fiqh (FIQH 201) — Rituals, worship, and daily rulings.

Advanced Fiqh Seminar (FIQH 301) — Methodology, contemporary issues.

Anticipated Course Start Date:

Tuition & Payment

Select payment option:

Full payment at registration

3-month installment plan (administrative fee applies)

6-month installment plan (administrative fee applies)

Academic Background & Prerequisites

Emergency & Medical Information

Authorization to administer emergency treatment if necessary: I authorize authorized staff to obtain emergency medical treatment in the event I cannot be reached.

Policies, Acknowledgments & Consent

Attendance and Conduct: The student agrees to attend scheduled sessions punctually, to abide by the instructor's directions, and to conduct themselves in accordance with the program's code of conduct. Repeated unexcused absences, disruptive behavior, or violation of the code may result in removal from the course without refund. The registrant acknowledges that standards of decorum and respectful interaction are enforced.

Academic Integrity: All coursework and assessments submitted by the student must be original and adhere to academic integrity principles. Plagiarism, cheating, or misrepresentation of academic work will result in disciplinary action, up to dismissal from the program.

Tuition & Refund Policy: Tuition is due in accordance with selected payment option. Unless otherwise stated in a separate written agreement, tuition paid is non-refundable after the first class session. Administrative fees may apply to scholarships, refunds, or plan changes. The student agrees to remain responsible for outstanding tuition and fees until the institution receives written notice of withdrawal.

Limitation of Liability: The institution and its instructors shall exercise reasonable care in providing instruction and maintaining facilities. To the fullest extent permitted by law, the institution shall not be liable for indirect, incidental, or consequential damages arising from participation in the course. This limitation does not apply to gross negligence or willful misconduct.

Photography & Media Release: I consent to the limited use of my or my child's image or voice in photographs, recordings, or course materials produced for internal educational purposes, unless I specifically opt out in writing prior to the first session.

Consent: By checking the box below and signing, I acknowledge that I have read, understand, and agree to abide by the policies set forth above and that the information provided on this form is true and complete to the best of my knowledge.

I accept and agree to the policies, acknowledgments, and consents above.

Additional Information

Certification: I certify under penalty of perjury that the information provided on this registration form is true and complete. I understand that falsification of information may result in denial of enrollment or dismissal.

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