2023 Summer Program Full-Time Hifdth/Revision 
May 31st through August 10th
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Name of Student *
Choose 1  *
Age of Student and Grade he/she will be attending in Aug 2023 *
Mother's Name, phone #, and email address *
Father's Name, phone #, and email address
How many Juz has the student memorized so far?
Name and phone # of Emergency Contact, in case parents cannot be reached *
Tuition is $450 per month. Please select your payment preference. *
An email acknowledging registration will be sent along with the rules governing the Summer Program by May 24th. Please write a note that you agree to follow the rules of the program. Students may be removed from the program if the rules are broken. 
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