Registration || Pakistan Children Relief

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First Name *

Last Name *

Parent's/Guardian First Name *

Parent's/Guardian Last Name *

Date of Birth *

Gender *

Street *

City *

State *

Zip Code *

Phone *

Email *

Referred By

Age Group *

Region *

Registration Fee: $15

Credit or debit card details

Group 1: Born 2013 and after

Surah Al-Qadr (97) to Surah An-Nas (114)

Group 2: Born 2008 and later

Surah Al-Burooj (85) to Surah An-Nas (114)

Group 3: Born 2003 and later

Entire Juz 30 and Surah Ar-Rahman (55)

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