MASJID NOOR LONG ISLAND
11032 Park Ave, Huntington, NY 11743
feedback@masjidnoorli.net
www.masjidnoorli.net
(631) 683-4185
Boys Basketball Camp With Hoopfinesse Registration Form
August 25th and 26th
Parent Information
Parent Name
*
First Name
Last Name
Parent Mobile Number
*
Please enter a valid phone number.
Parent Email
*
example@example.com
Select Participants
Select Fee Package
*
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Student Registration Fees
$
25.00
Boys Basketball Camp
Quantity
Price
Select Child
1
2
3
4
5
6
7
8
$
25.00
Item subtotal:
$
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: