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Muslim Family Camping Registration
Please complete this form. We will follow-up afterwards to request any additional information if needed.
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Contact Information
First Name:
*
Your answer
Last Name:
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Your answer
Mobile Phone:
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Your answer
Email:
*
Your answer
Street Address
*
Your answer
City:
*
Your answer
State:
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Virginia
Maryland
Washington, D.C.
Zip Code
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Your answer
Family Members
Please let us know how many of your family members are attending camp. Please include yourself when registering.
Number of Adult Males over age 21 attending:
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0
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4
Number of Adult Females over age 21 attending:
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0
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4
Number of Children under the age of 5 attending:
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0
1
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4
Number of Boys ages 6-10 attending:
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0
1
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4
Number of Girls ages 6-10 attending:
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0
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4
Number of Boys ages 11-15 attending:
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0
1
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4
Number of Girls ages 11-15 attending:
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0
1
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4
Number of Boys ages 16-21 attending:
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0
1
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4
Number of Girls ages 16-21 attending:
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0
1
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4
Are you or any of your family members registered with either of these two Scouting organizations?
Please check the boxes that apply.
Boy Scouts of America
Girl Scouts of America
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