Wycombe 2025

Student Name*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Gender*
Contact Number*
Age*
Email*
Have you attended The Halaqa before?*
How did you hear about this Halaqa?*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Programme*
As shown in the schedule above, there will be a daily Qur'an recitation slot from 3-4pm, during which we aim to collectively complete the Qur’an multiple times and conclude with a Khatam in the evening. To help us allocate Juz portions fairly, please select the most suitable option below on how fast can you recite Qur'an (on average):*
Additional Applicants
Allergies/Medication/Other
Emergency Contact Details
Full Name*

First NameLast Name
Contact Number*
Relation to You*

Registration*

Adult 14+

£175.00 Quantity

Youth 10-13

£150.00 Quantity

Kids Camp 5-9

£135.00 Quantity

4 & Under

£ Free

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Subtotal

£0.00

Tax

£0.00

Total

£0.00

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