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ICEV Youth Camp Registration Form March 13th-15th
Spring Youth Camp @ Prescott; Food and transportation will be provided.One person per form
Timing: Friday, March 13th From 3 PM until Sunday, March 15th, 3 PM. Cost $150/person We'll leave Friday at 3 pm from the Islamic Center of the East Valley @ 425 N Alma School Rd. Chandler, AZ 85224 to the camp in Prescott, we will return back to ICEV Sunday at 3:00 pm inshaAllah *For more info text 4806288971
Spring Youth Camp 2020
Email address* *
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Youth First Name: *
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Youth Last Name: *
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Any Medical problem or allergies your child may have, describe or put "none". *We will order a seafood diet for this camp, please state if your child is allergic so we can provide an alternative *
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Youth Age: *
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Please select youth gender: *
We, the parents of the youth (under 18) listed on this form, who plan to participate in ICEV Youth Camp which require the youth to stay From Friday 3/13 until Sunday 3/15 until 3:00 PM at the facility in Prescott hereby waive all claims against ICEV and its officers, directors, employees, and volunteers in case of any accidents, incidences or medical emergency during the whole time at the camp. We also agree that we will assume full financial responsibility and pay for any damages to the facility, equipment, furniture, etc. caused by our children. *Parent or Legal Guardian Type your First and Last Name as a signature *
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Parent's Name *
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Parent's Phone Number *
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❑ What to bring • A Sleeping bag, pillow• Washcloth, toothbrush, toothpaste, & sunscreen• Clothing: rugged play clothes are best, socks, jacket or sweatshirt, closed-toe shoe• Flashlight, & large water bottle• All Girls please bring Hijab to wear at Camp. (put your camper’s name on everything you possibly can) Don't overpack though *
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I will pay $150 to secure my child's spot at the ICEV Spring Camp https://freedonationkiosk.com:9011/icev/events/1/134048
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