DUS Youth Climb Zone Registration
As salaamu alaykum wa rahmatullahi wa barakatuh, please read the following prompt fully before proceeding.

The following form is the registration for this Friday's DUS Youth event/outing at "Climb Zone". Please fill out the form fully and make sure to submit at the end of the form.

Please be sure to arrive at THE VENUE "Climb Zone" by 5:45 PM sharp. We will be praying Ishaa at 8:45 PM in order to finish on time. The address of the venue for this event is 13200 Mid Atlantic Blvd #130, Laurel, MD 20708. Participants may be retrieved from Climb Zone at 9:00 PM.

This event is only for brothers and sisters in grades KINDERGARTEN thru 5. We encourage you to get family and friends to attend and we hope to see you there!

P.S. WE NEED FIVE VOLUNTEER CHAPERONES FROM PARENTS. Please indicate if you are able to help with this in the form below.

Limited Spots Available! 20 Spots for Brothers. 20 Spots for Sisters.
Email address *
First and Last Name *
Your answer
Gender *
Grade *
Note: This event is for attendees in grades K thru 5. If your child is in KINDERGARTEN, please enter value 0.
Your answer
Guardian Name *
Your answer
Guardian Phone Number *
Your answer
Volunteering as Chaperone
Please enter your full name below if you (the parent filling out this form) are able to assist on the day of as a parent.
Your answer
Please check the following boxes once you have read, understood, and completed the prompts in each: *
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