ICN Girls Club Registration Form 2025

ICN Girls Club 2025

Annual Membership Registration Form
Join us and become a member of ICN Girls Club, a fun community for girls ages 7 and up dedicated to fostering sisterhood, creativity, and connection. We host exciting events the 3rd Friday of each month and alongside these fun sessions we offer brief Islamic talks to inspire and educate girls on key values and teachings of Islam.

🌟 This is a Mother-Daughter event (father may attend if the mother is not available)

🌟 Only the prospective Girls Club member(s) may accompany the parent - no siblings and other family members will be allowed.
Participant's Information:
Child / Children's information:*
Parent's Information:
Father's Name:*

First NameLast Name
Father's Phone Number:*
Please enter a valid phone number.
Mother's Name:*

First NameLast Name
Mother's Phone Number:*
Please enter a valid phone number.
Primary E-mail Address*
example@example.com
EMERGENCY CONTACT INFORMATION:
Emergency Contact Name:*

First NameLast Name
Emergency Contact Phone Number:*
Please enter a valid phone number.
Emergency Contact Relationship:*

MotherFatherOther
Disclaimer
I hereby agree that this release and waiver of liability discharges ICN, it's volunteers, and members from any damages, injury or cost arising from any ICN Girls Club events.

Food Allergies

ICN Girls Club is not responsible for any allergies. If your child has any food allergies, it is the guardian's responsibility before leaving the child to check with the committee leads regarding foods that will be provided. While we try to be cognizant of food allergies, we cannot guarntee an allergen free meal at all events. If your child uses an Epi Pen, she must be accompanied by an adult during events.

MUHSEN Accomodations

All MUHSEN Accomodations will be handled by ICN MUHSEN Leads.

Furthermore, I give permission to ICN and Girls Club volunteers to seek medical help for my child in case of an emergency. I also hereby agree to the medical release and the event terms listed above.
AGREEMENT TO TERMS AND CONDITIONS:*

I HAVE READ AND AGREED TO THE TERMS ABOVE
PAYMENT INFORMATION:

The ICN Girls Club Annual membership fee is $110 per kid (non-refundable) for 2025.
Do you want to pay by Credit Card?*

Credit Card
Please ensure you select the correct quantity in the payment below to match the number of kids you are wanting to register in the program.

Payment:

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ICN Girls Club 2025

Participant's Information:

Parent's Information:

EMERGENCY CONTACT INFORMATION:

Disclaimer

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