Request edit access
Ramadan Youth Night 
Come and immerse your child in the spirit of Ramadan at Zawiyah!

PLEASE MENTION THE DATE(S) THAT YOU ARE REGISTERING FOR.
Registration without payment is invalid. Please register here: 

AGES 5-9 FRIDAYS 
BOYS AGED 10+ SATURDAYS
TEEN GIRLS AGED 13+ SATURDAYS

Sign in to Google to save your progress. Learn more
Email *
ARE YOU REGISTERING FOR MORE THAN 1 NIGHT? *
WHAT DATE ARE YOU REGISTERING FOR? *
MM
/
DD
/
YYYY
Allergies? *
Phone number:
*
Child's name: *
Gender: *
Age and grade: *
I agree that I must pick up (and sign out) my child by the end of the program.
*

BY STATING YES BELOW, I THE PARENT/GUARDIAN, AM THE PARENT AND/OR LEGAL GUARDIAN OF THE CHILD AND FOR THE CHILD I HEREBY CONSENT TO HIM OR HER PARTICIPATING IN THE ACTIVITY, AND, FOR MYSELF AND THE CHILD, IN RETURN FOR THE ZAWIYAH FOUNDATION ALLOWING THE CHILD TO PARTICIPATE IN THE ACTIVITY:

I NOW WAIVE ALL CLAIMS AND HEREBY RELEASE the Zawiyah Foundation from any and all liability for any complaints, demands, claims, actions, suits, judgements and orders for any and all losses, injuries, damage or expenses incurred or experience in connection with my Child's participation.

Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report