ICMC Summer Camp Registration 2024

ICMC Summer Camp Registration 2024
Father Name*

First NameLast Name
Mother Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you need Financial Assistance (Discounted Pricing)?*
How many Students are you registering?*
How many Students are you registering?*
Child 1 Name*
Child 1 Age*
Gender*
Child 2 Name*
Child 2 Age*
Gender*
Child 3 Name*
Child 3 Age*
Gender*
Child 4 Name*
Child 4 Age*
Gender*
Tuition and Fees Information

The fees is $200 for the first child and $150 for additional child(ren).
Fees for 1 Child*

$200
Fees for 1 Child - Discounted*

$125
Fees for 2 Children - Discounted*

$200
Fees for 3 Children - Discounted*

$250
Fees for 4 Children - Discounted*

$300
Fees for 2 Children*

$350
Fees for 3 Children*

$500
Fees for 4 Children*

$650
Financial Assitance

If you are unable to pay the full fees in single payment and would like to setup installment plan, please email us at accounting@icmcmasjid.org
How much would you like to Donate for supporting ICMC Summer Camp?
Sponsor Total
Student Total
Student Total - Discounted
Choose your payment option:*

Cash/Check (To be paid at the masjid by June 27th)Credit/Debit Card (See Below)
Credit/Debit Payment

To pay using your Credit/Debit Card, please click here Pay the amount shown below, after the payment come back to this page and click on submit.
Notes
Total to be paid
Total to be paid - Discounted
Should be Empty:

ICMC Summer Camp Registration 2024

Tuition and Fees Information

Financial Assitance

Credit/Debit Payment