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Hifz Program
Registration Form
9
Questions
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1
Registering for
*
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Boy
Girl
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2
Please select Full Time or Part Time
*
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Full Time
Part Time (9AM - 12PM)
Part Time (12PM - 3PM)
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3
Name (Parents name if child under 18 years)
*
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Contact - mother, father, or guardian
First Name
Last Name
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4
Child's Name (under 18 years)
Contact - mother, father, or guardian
First Name
Last Name
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5
Age
*
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6
Email
*
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example@example.com
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7
Phone Number
*
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8
How many Surah/juz has he/she memorized?
*
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9
Memorization done at home or at a Masjid?
*
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