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Masjid Al Huda
Ramadan 2026 Youth Qiyam Signup Form (Boys 10-18 Years)
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1
Child's Name
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First Name
Last Name
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2
Child's Age
*
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This event is for children between 10-18 years
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3
Email
*
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example@example.com
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4
Parent's Name
*
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First Name
Last Name
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5
Parent's Phone Number
*
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Area Code
Phone Number
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6
Parent Certification 1 - Please select
*
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I hereby elect to voluntarily allow my child to participate in the said youth event and hereby hold harmless, release, and forever discharge Majid Al Huda and Men of The Ummah, it's management and volunteers from all claims, demands, and causes of action which I may have by reason of this authorization
YES
NO
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7
Responsibility for Drop off and Pick up
*
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I will be fully responsible for promptly dropping off and picking my child to and from Al Huda Academy gym
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NO
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