Youth Night
Welcome to My NBIC! We are launching Friday Youth Nights. Our goal is to give the NBIC youth a community that revolves around piety and provide a fun and interactive space for them. They will be hosted on specific Friday nights (to be announced) from 6-9pm. Ages 13+, no exceptions.

By filling out this form and attending NBIC and Safina Youth events, you acknowledge that both institutions are free from liability. Please make sure safety and proper conduct are followed at all times.

Member First Name *
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Member Last Name *
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Birth Date *
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Email *
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Parent Full Name *
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Parent Email *
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Parent Cell Phone # *
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Emergency Contact Name *
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Emergency Contact Phone # *
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Any activities suggestions? We want to hear from you!
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Any halaqa topics? Specific speaker requests?
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