ICN FSS Event Registration Form

Facing Substance Abuse

Family Support Services, Islamic Center of Naperville
Event Information

Please see the event date, time and location below.
Event Date: June 18th, 2022 Event Time: 1:30 - 2:45 PM CST Event Address: ICN 75th Street Masjid, 25W530 75th St., Naperville, IL 60565
Attendee Information

Please fill name and contact information of attendees.
Your Name *

Prefix First Name Last Name
Email Address *
example@example.com
Contact Number
Please enter a valid phone number.
Would you like to be updated about the upcoming events?

Yes No
Please verify that you are human. *
Should be Empty:

Facing Substance Abuse