Summer Camp Session 2 Enrollment Form

Summer Camp Registration

Session 1: June 5th-July 14th, Session 2: July 17th-August 10th
Noor Summer Camp 2022

Our approach is to provide our campers with a beneficial yet fun summer program that includes a variety of activities from Quranic Halaqa, sports, arts and hands on experiments from Monday thru Thursday. Fee for 3 weeks of summer camp will be $350 that will be collected on the first day of camp. Seat is not guaranteed until fee is paid in full. Jazak Allahu khair
CHILD INFORMATION:
Child Name*

First NameLast Name
Birth Date*

MonthDayYear
Grade*
Name of School*
PARENT/GUARDIAN INFORMATION:
Father's Name*

First NameLast Name
Mother's Name*

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mom's Cell #*

Area CodePhone Number
Dad's Cell*

Area CodePhone Number
Mom's E-mail*
example@example.com
Dad's Email*
example@example.com
MEDICAL INFORMATION
Physician Name

First NameLast Name
Phone Number

Area CodePhone Number
Medical Concerns
T-Shirt Sizes
Please add what t-shirt size fits your child (small, medium, large, Extra Large)
Quran Assessment & Fee Payment :

Quran assessment will take place on first day of classes. Enrollment is not complete unless fee is paid in full . https://us.mohid.co/oh/columbus1/masjidalnoor/masjid/online/donation/index/27
Should be Empty:

Summer Camp Registration