α-𝐌𝐮𝐬𝐥𝐢𝐦𝐬 𝐒𝐮𝐦𝐦𝐞𝐫 𝐂𝐚𝐦𝐩

AIC α-𝐌𝐮𝐬𝐥𝐢𝐦𝐬 𝐒𝐮𝐦𝐦𝐞𝐫 𝐂𝐚𝐦𝐩 registration form (Summer 2026)

Please read carefully before filling the form.
Alpha Muslims Summer Camp – Program Overview

Our 6-week summer camp at Alnoor Islamic Center (AIC) offers a balanced mix of learning, creativity, and fun!

The program is offered for (Ages 4 -15) as these options:

Age 4 to 10 years old:

𝐀- 5 days per week: 𝟗:𝟎𝟎 𝐀𝐌 - 3:𝟎𝟎 𝐏𝐌: 𝐌𝐨𝐧𝐝𝐚𝐲 to 𝐅𝐫𝐢𝐝𝐚𝐲 ($130/𝐖𝐞𝐞𝐤)

Age 11 to 15 years old:

B- 3 days per week: 𝟗:𝟎𝟎 𝐀𝐌 - 3:𝟎𝟎 𝐏𝐌: Wednesday to Friday ($75/𝐖𝐞𝐞𝐤)

The summer camp 𝐰𝐢𝐥𝐥 𝐬𝐭𝐚𝐫𝐭 𝐨𝐧 6/22 and end on 7/31

Payments:

- You are eligible for a 10% discount if you sign up and pay for the entire program upon registration by 5/10/2026

- If you choose to pay weekly you will need to pay for your child by Saturday 5PM before the begining of the week they are attending using another form that will be provided to program registrants.

- A minimum of 1 week will be required to complete registration and will be subject to the program's refund policy (See policy here).

Which Program would you like to sign your junior in?

Option A - 5 days per week: 9:00 AM - 3:00 PM, Monday to FridayOption B - 3 days per week: 9:00 AM - 3:00 PM, Wednesday, Thursday and Fridays
Student Name*
Gender*

MaleFemale
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Age*

Does the child have any medical problems which the school should be aware of? If yes, please explain.*
Does the student have any allergies, chronic illness, or medical conditions? If yes, please describe.*
In the event of injury or illness to my child, I hereby authorize Alnoor Islamic Center representative to secure whatever treatment is deemed.*

I acknowledge.

Payment Selection

Summer Camp: 5 Days per Week

$130.00

Summer Camp: 3 Days per Week (AGE: 11 to 15 years old )

$75.00

Enter coupon

Total

$0.00

AIC α-𝐌𝐮𝐬𝐥𝐢𝐦𝐬 𝐒𝐮𝐦𝐦𝐞𝐫 𝐂𝐚𝐦𝐩 registration form (Summer 2026)