Youth Event Registration
for ALL Youth Free Events
Event Registering for
*
Please Select
December 20: Ages 6-8 Youth Halaqa 6-7:30pm.
December 20: Ages 9-12 Youth Halaqa 6-7:30pm
December 20: Ages 13-19 Youth Halaqa 6-7:30pm
December 20: Girls Only Middle School 6-7:30pm
January 7: Girls Only High School 5-6:30pm
Name
*
First Name
Last Name
Age
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Parents / Guardian Name (if under 18)
First Name
Last Name
Email
example@example.com
Parent Phone Number
*
Please enter a valid phone number.
Other activities you would like to see at SRVIC:
Parent / Guardian Signature (if under 18):
Submit
Should be Empty: