ISCJ Summer Camp 2025 Registration Form

ISCJ Summer Camp 2025 is for Ages 5 – 13

Description:

Join us this Summer at the ISCJ for an enriching and fulfilling program designed to ignite young minds with knowledge and spirituality. Our program offers a perfect blend of learning, fun, and engagement! In collaboration with Brainy n Bright, the camp offers Robotics and Coding sessions for all kids with state of the art equipment and seasoned instructors! Weekly field days add to the excitement! Sign up today for a journey of growth and enlightenment.

Age:

Participants are divided based on age group:

Group A: 5 – 7 yrs

Group B: 8-10 yrs

Group C: 11 - 13 yrs

Program duration:

5 weeks, starting June 30th to July 31st

Timing:

Monday to Thursday 10:00 am to 2:00 pm.

Program Fees :

Special ISCJ member pricing:
$225/week per child. Sibling Discount:$205

Non-ISCJ member pricing: $250/week per child. Sibling Discount:$225

Address : 4145 Rt 1 South

Monmouth Junction NJ, 08852

PLEASE NOTE THAT THERE ARE NO REFUNDS ONCE THE PROGRAM BEGINS ON JUNE 30

__PRESENT

First Name*

Last Name*

Gender*

MaleFemale

Age*

Child One : Enrolling for the following weeks: *

	Week 1	Week 2	Week 3	Week 4	Week 5
LIT SUMMER CAMP: 10 am - 2 pm

Child One Total

Do you want to add another child?*

YesNo

Second Child

First NameLast Name

Second Child Gender*

MaleFemale

Second Child Age*

Second Child: Enrolling for the following weeks:*

	Week 1	Week 2	Week 3	Week 4	Week 5
LIT SUMMER CAMP: 10 am - 2 pm

Second Child Total

Do you want to add a third child?*

YesNo

Third Child

First NameLast Name

Third Child Gender*

MaleFemale

Third Child Age*

Third Child: Enrolling for the following weeks*

	Week 1	Week 2	Week 3	Week 4	Week 5
Track 1. LIT Morning Session ONLY 10 am - 2 pm

Third Child Total

First Name*

Last Name*

Street*

City*

Zip Code*

Email*

example@example.com

Phone Number*

Area CodePhone Number

EMERGENCY Phone Number*

Area CodePhone Number

Health Conditions we should be aware of. Please list each child seperately.

For all attendees on this form

Are you an ISCJ Member?

YESNO

Children Total

Would you like to volunteer as a chaperone on a field trip?

YesNo

Liability Release Form

All parents must e-sign

FOR PARTICIPATION IN ISCJ LIT SUMMER CAMP

(June 30 to July 31)

I am the parent/guardian of a participant(s) in the ISCJ LIT Summer camp, starting June 30 and ending July 31st to be held at ISCJ / NUI Campus.

I understand that although the participants will be supervised during the program mentioned, I hereby assume all of the risks of participating in any/all activities associated with this program, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.

I acknowledge that I will not seek to have the Islamic Society of Central Jersey and Noor-Ul-Iman School held liable in the event that any accident, injury, loss of property or any other circumstance or incident occurs during or as a result of my son’s/daughter’s participation in the program. This release of liability includes accident, injury, loss, or damages to my child, as well as, to other individuals or property which may result from my child’s participation in the program. I hereby release and agree to hold harmless ISCJ & NUI, its officials, staff, employees and volunteers from any claims arising out of my son’s/ daughter’s participation in the program.

I also understand while participating in this program, my son/daughter may be photographed. I agree to allow these photo, video, or film likeness to be used for any legitimate purpose including, but not limited to media reporting, marketing and advertisement by the program organizers.

The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I ELECTRONCIALLY SIGN IT OF MY OWN FREE WILL.

Guardian Signature*

Date*

Date

ISCJ LIT strives to ensure that all individuals associated with the program are treated in a respectful and fair manner. Though it is not possible to list all forms of behavior that are unacceptable, the following are examples of behavior that would be considered infractions of the ISCJ LIT Behavior Policy. Such behavior may result in disciplinary action, up to and including removal from the program. This list is not intended to be exhaustive:

Disrespecting the masjid or its congregants.
Damaging masjid property in any way.
Disobeying or disrespecting any of the program coordinators.
Cursing in any form.
Bullying in any form, including but not limited to name-calling, insulting, taunting, and exclusion of others.
Acting aggressively or fighting with other participants, physically or verbally.
Wasting food.

Program coordinators will do their best to resolve any behavior offenses. If deemed necessary, the parent(s) of the participant(s) involved will be notified, and the participant(s) will be given a warning. Any participant who receives a second warning will be removed from the program.

Furthermore,
Participants are expected to behave with excellent Islamic character.
Participants are expected to listen to program coordinators at all times.
Participants are expected to wear Islamically appropriate clothing which allows them to pray in the masjid.
ISCJ LIT reserves the right to remove any participant from the program as deemed necessary, without refund.

BY ELECTRONICALLY SIGNING BELOW, I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A BEHAVIOR POLICY AND I ELECTRONCIALLY SIGN IT OF MY OWN FREE WILL.

Guardian Signature*

Date

Subtotal

Payment Amount

USDDescription

ISCJ LIT Summer Camp Registration

Child Information

Parent Information