Faith & Fitness: Miftaah Juniors • Miftaah Institute
Faith & Fitness: Miftaah Juniors
$50
$40
Miftaah Institute
Parents Name
Parent's Phone Number
Parents Name (2)
Parent' Phone Number (2)
Email address
Address
City
State
Postal Code
Student Name
Student Gender
Select an option
Male
Female
Age
Grade
Select an option
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
Does your child have any disabilities, learning needs, behavioral challenges, or anything else you'd like us to be aware of to better support them?
Does your child have any allergies (food, medication, environmental, etc.) that we should be aware of?
Select an option
No
Yes
Add discount code
Or pay with card
Card
Total due:
$40
Pay $40
Payments are secure & encrypted
