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at ICNA Center | Sat. Feb. 14, 2-4 PM
For Boys and Girls ages 5-12
3
Questions
Register
1
Parent and Child Information
Register up to 4 children per form
Parent Full Name
Phone Number
E-mail
Your Zipcode
Kid 1 Name/Age
Kid 2 Name/Age
Kid 3 Name/Age
Kid 4 Name/Age
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2
Click Here to Read the Program Waiver
*
This field is required.
I have read and fully understand the above waiver and release claim.
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3
OPTIONAL Donation
to ICNA Center and Mosque
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Description
USD
+ OR enter a custom value
Credit Card
First Name
Last Name
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