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Pre-registration form
Please submit one form per child.
Child's information
Child's Name
First name and last name
Your answer
Age
Your answer
Gender
Date of Birth
MM
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DD
/
YYYY
Summer Program
Ramadan Program June 13th-June 22nd
Summer Camp July 11th-August 3rd
Parents Information
Father's Name
Your answer
Phone no.
Your answer
Email
Your answer
Mother's Name
Your answer
Phone no.
Your answer
Email
Your answer
Residential Address
Your answer
Comments
Your answer
Payment Method
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