MYCC Girls Program Registration
As-Salaamu 'alaikum wa rahmatullaahi wa barakaatuhuu

This form is for MYCC's youth program for girls ages 7-14.

The program will consist of an Islamic talk, sports/activities, and social time with snacks.

The program will be every Saturday afternoon. Exact time will be communicated in the next few days, insha'Allah.
Participant's Full Name *
Participant's Age *
Parent's Full Name *
Parent's Email *
Parent's Phone Number *
Emergency Contact *
Emergency Contact Phone Number *
Allergies (Please use the box below to describe any special care needs, dietary requirements, allergies or medical condition, if none put N/A) *
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