CampNWMI 2025 - Step 1 Family Info

2025 Registration Form for Teens Ages 13 to 18
By Allah (swt)’s grace, Teen Camp will be an epic *overnight* adventure at Camp Wabanna, nestled along the picturesque shores of the Chesapeake Bay, with an afternoon spent on the way back at the beautiful Diyanet Center!

SATURDAY, AUGUST 23, 2025 TO SUNDAY, AUGUST 24, 2025

A charted bus will transport campers from Walter Johnson High School in Bethesda, MD to Camp Wabanna and the Diyanet Center and then back again.
Step 1 - Family Information
Parent/Legal Guardian Information

Please enter the following information for the parent or legal guardian of the child(ren) attending camp.
Name of Parent*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent's Email*

Confirmation Email
Teen's Email*

Confirmation Email
Emergency Contact Information

Please enter the name and phone number for two individuals whom we can contact in case of emergency. Contact #1 will be the first person we call in an emergency if we cannot reach you at your mobile or alternate phone.
Contact #1 Name*

First NameLast Name
Contact #1 Phone*
Please enter a valid phone number.
Contact #2 Name*

First NameLast Name
Contact #2 Phone*
Please enter a valid phone number.
Should be Empty:

2025 Registration Form for Teens Ages 13 to 18