Childcare Registration - Ramadan 1440
Prince George's Muslim Association (PGMA)
9150 Lanham Severn Rd
Lanham, MD 20706
Email address *
Parent's Name *
Your answer
Parent's Cell Phone Number
Your answer
Child's Name and Age *
Your answer
Child's Name and Age *
Your answer
Child's Name and Age *
Your answer
Does your child need special assistance during care hours?
If Yes, Please describe
Your answer
What days will you attend? *
Required
Dietary restrictions *
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