Pa Women of Worth Retreat Registration Form

Project Iqra Quran Intensive Retreat

April 20 - 30, 2026
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*

Area CodePhone Number
Yes, I want to receive occasional text messagesNo, I prefer not to receive occasional text messages
E-mail*
Home Masjid*
An Early RiserAn Night OwlLodging ElsewhereOther
Remember to bring:
1. Quran/notebook/pens
2. Exchanged currency (CFA) for tips, purchases, etc.
3. An open heart and an open mind
Mainstay will be in or near the Louga Region with final location to be announced 1 month prior.

YOU WILL BE RESPONSIBLE TO CLEAN THE ROOM AND BATHROOMS. Cleaning supplies are provided.
If you choose the Double Room, please list the names of the ladies you want to room with for the week.
If registering for more than one person, please provide their name, address, phone number, home masjid, and email address
EX: Jane Doe, 123 Retreat Road, Laketown, PA 16111, janedoe@retreat.com
Registration & Retreat Coordinator:

Khadijah Blanche-Diop

+1-424-227-0352 (Leave Message)

Website: www.ProjectiqraQuran.org/Tours

Email: Tours@ProjectiqraQuran.org

Fee: $2,750.00

50% Deposit: due March 7th
Full payment: by April 7th
Full in payment before March 1st save $250 (Fee: $2,500.00)

My Products

Early Bird Discount (due March 1, 2026)$2,500.00

Includes: Airport Shuttle Service on scheduled dates Lodging, meals site tours and transportation Mainstay will be in Dakar, Senegal

Quantity

Standard Registration (due April 7, 2026)$1,375.00

Includes: Airport Shuttle Service on scheduled dates Lodging, meals site tours and transportation Mainstay will be in Dakar, Senegal

50% Deposit	Quantity	Price
50% due March 7		$1,375.00
Final Payment du April 7		$1,375.00

Total $0.00

Project Iqra Quran Intensive Retreat