Fall Quran Program 24

Summer Quran Program

Recitation, Memorization, and Islamic Studies
Febuary 5th to May 23rd
Monday to Thursday
4:00PM to 5:30 PM

ICNA Center
1s270 Summit Avenue
Oakbrook Terrace, IL 60181

For Boys and Girls, Ages: 4-10

Fee: $150 per student per month
Due at registration, please cancel a week in advance for full refund, no refunds for missed classes.
Limited Seats, Based on first come bases

Details:
Learning to Read(Begginers, Continuing Recitation, Continuing Memorization, & basic Islamic Studies
Boys in Mussalah(Basement).

Supervised by Hafiz Usman
Organized by ICNA Center Quran Team
Contact: Quran@icnachicago.org

Registration Form:
Please fill 1 form per student
Childs Name*

First NameLast Name
Child Summer Quran Focus:*

Learning to Read Quran(Beginners)Continuing RecitationContinuing Memorization
Age*
Gender*
Medical Allergies?*
If yes, please list Medical Allergies:

Parent\Guardian Info

Primary Emergency Contact
Parents Name:*

First NameLast Name
Mobile Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
2nd Emergency Contact:

First NameLast Name
2nd Emergency Contact Mobile Number
Please enter a valid phone number.
2nd Emergency Contact Email
example@example.com

Summer Quran Program at ICNA Center Waiver:

As parents/guardians of participants in these programs, I recognize and acknowledge that there are certain risks of physical injuries and I voluntarily agree to assume the full risk of injury, regardless of severity that my child may sustain as a result of participating in any of these activities held on or off ICNA property.

I further agree to waive, relinquish and forever discharge ICNA from any claims from injuries including death, damages and loses sustained by me or my child in connection with or associated with the programs held on or off ICNA premises.

I hereby consent to my child being interviewed or videotaped at events sponsored by ICNA. Furthermore, I consent to the publication, exhibition or reproduction of any such interview material, photograph or videotapes to be used for public relations, news articles or telecasts, education, advertising, research, inclusion on the ICNA website, Facebook, fundraising or any other purpose.

I, the undersigned, also consent that I will not seek compensation for my child’s participation here.
I have read and fully understand the above waiver and release claim.*

Yes
ParentGuardian Name:*

First NameLast Name
Signature*

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