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ICNE Friday Halaqa Camp Pre-Registration
www.icnehalaqacamp.com
7
Questions
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1
Parent 1 Name
*
This field is required.
First Name
Last Name
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2
Parent 1 Cell Number
*
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Area Code
Phone Number
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3
Parent 1 Email
*
This field is required.
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4
Parent 2 Name
First Name
Last Name
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5
Parent 2 Cell Number
Area Code
Phone Number
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6
Parent 2 Email
example@example.com
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7
Child Registration
Child Name
Child Age
Allergy
Type of Allergy
Child 01
Row 0, Column 0
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Row 0, Column 1
Yes
No
Yes
No
Row 0, Column 2
Row 0, Column 3
Child 02
Row 1, Column 0
3
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13
3
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Row 1, Column 1
Yes
No
Yes
No
Row 1, Column 2
Row 1, Column 3
Child 03
Row 2, Column 0
3
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9
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11
12
13
3
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Row 2, Column 1
Yes
No
Yes
No
Row 2, Column 2
Row 2, Column 3
Child 04
Row 3, Column 0
3
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5
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9
10
11
12
13
3
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13
Row 3, Column 1
Yes
No
Yes
No
Row 3, Column 2
Row 3, Column 3
Child 01
Child 02
Child 03
Child 04
Child Name
Row 0, Column 0
Child Age
3
4
5
6
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8
9
10
11
12
13
3
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13
Row 0, Column 1
Allergy
Yes
No
Yes
No
Row 0, Column 2
Type of Allergy
Row 0, Column 3
Child Name
Row 1, Column 0
Child Age
3
4
5
6
7
8
9
10
11
12
13
3
4
5
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7
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11
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13
Row 1, Column 1
Allergy
Yes
No
Yes
No
Row 1, Column 2
Type of Allergy
Row 1, Column 3
Child Name
Row 2, Column 0
Child Age
3
4
5
6
7
8
9
10
11
12
13
3
4
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Row 2, Column 1
Allergy
Yes
No
Yes
No
Row 2, Column 2
Type of Allergy
Row 2, Column 3
Child Name
Row 3, Column 0
Child Age
3
4
5
6
7
8
9
10
11
12
13
3
4
5
6
7
8
9
10
11
12
13
Row 3, Column 1
Allergy
Yes
No
Yes
No
Row 3, Column 2
Type of Allergy
Row 3, Column 3
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