JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Full Time Hifz Program - Signup Form
Age Requirement: 6 -15 ( Boys ONLY )
Mon-Thur ( 8:30 am - 2 pm ) & Fri ( 7:30 am - 1 pm )
Monthly Fee: $300 per child
You can pay the fees in following ways:
- Zelle to
icptxfinance@icptx.org
- Venmo to @icptxfinance
- Bring check in person
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student Full Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
How much Juzz have student memorized ? ( 1, 2, None )
*
Your answer
Parent Full Name
*
Your answer
Parent Phone Number
*
Your answer
Address
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Islamic Center of Pflugerville.
Report Abuse
Forms
