Crystals, Jewels, & Gems Registration Form ~~~2018~~~
As Salamu 'alaikum wa Rahmatu Allahi wa Barakatuh!

Registration is required for both new & returning members. Please fill out ONE FORM PER GIRL.

-Crystals (7-9 years old)
-Jewels (10-13 years old)
-Gems (14+ years old)

We offer Islamic discussions, crafts, games, food activities, sports, art activities, field trips, and more! To see what we have done in the past, please visit

We meet every SATURDAY, unless otherwise notified via email.

IMPORTANT: Please send a packed lunch. For those who don't buy or bring lunch, we will provide a small snack such as fruit or pretzels.

Participation in this program is based on your agreement to the following:

- Parents/guardians are required to be present to sign their girls under age 12 in and out.

- Parents/guardians need to send lunch or lunch money with their child.

- Parents/guardians of any girl(s) not picked up by 4:45 will be charged a late fee. Failure to pay the late charges may result in dismissal from the program.

Rules for the late pickups*:
1st offense: Warning.
2nd offense: $20 fee.
3rd offense: Dismissal from the program.
* Special circumstances will be considered on a case-by-case basis.

- Girls are welcome to bring a cellphone for safety but are not allowed to use the phone during the program. Phones will be collected at the beginning of the program and be returned at pick up time.

- Girls are required to wear proper footwear when the activity requires it.

By clicking the box below, I confirm that I have read the program rules and waiver. I agree to the terms. *
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