Cub Scout 2019-2020 Registration (New Scouts)
Assalamu alaikum.  Please use this form to register for the Hillside Islamic Center Cub Scouts program.  This program is exclusively for boys and girls in grades K-5 (ages 5-11).  Registrations will be accepted on a first-come first-serve basis until all spots are filled.  After you complete this survey, you will be contacted via email to either complete the registration process or to be informed that your child has been placed on the waitlist.  For any questions, please contact Sr. Sadia at  Jazakallah khair.
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What is your child's name? *
What is his/her date of birth? *
What grade is your child in? *
Does your child have any special needs that we should be aware of? *
What is the mother's name? *
What is the mother's email address? *
What is the mother's phone number?
What is the father's name? *
What is the father's email address? *
What is the father's phone number? *
HIC Cub Scouts is in need of adult volunteers (male and female) in order for the program to continue to grow.  If you are interested in joining our dynamic leadership team, please provide your name and preferred contact information below.
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