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Summer Hifz Program Form
July 9th - August 29th from Mon-Thurs, 10am - 2pm
Please submit seperate form and payment per child
* Indicates required question
Email
*
Record my email address with my response
Summer Hifz Program
Parent's First Name
*
Your answer
Parent's Last Name
*
Your answer
Parent's Email Address
*
Your answer
Full Address
*
Your answer
Phone Number (will be used for Whatsapp Groupchat)
*
Your answer
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Child's Age
*
Your answer
Child's Gender
*
Male
Female
Any other important information regarding your child?
Your answer
Which one of the option best suits you?
*
I would like to enroll my child for one month and pay $250
I would like to enroll my child for two months and pay $500
I verify that I have clicked the link here and made the payment required
Click here to make payment
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Yes
Required
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