Alhuda Qur'an and Arabic Summer Program 2013: REGISTERATION FORM

June 3, 2013 - July 3, 2013 (Five Weeks)
Mon-Thurs: 10am - 2pm
Ages: 6-15; Max Capacity 60 kids; $150 per child
Venue: Alhuda Foundation, 12201 Lantern Road, Fishers, IN 46038

PLEASE fill out the registration form online and bring the payment on the first day of the camp IA.

    PARTICIPANT'S INFORMATION

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Lunch: Please be sure that your child’s lunch is clearly marked with your child’s first and last name.

    PARENT STATEMENT

    In case of illness or emergency, I authorize Al-Huda Summer program personnel to authorize any physician, nurse practitioner or medical personnel to examine, interview, test and if necessary, treat my child as they may deem advisable. I hereby state that my child (mentioned above) is in good mental and physical health condition to participate in the activities provided by Al-Huda Foundation. I hereby release Al-Huda Foundation, its employees and its staff from liability to the above named child, of the person claiming through him/her, arising from injury to the person or property of the above named child occurring in the premises of Eman Schools. I understand that Al-Huda has the right to deny admittance to any student not meeting the standards of the program as it sees fit. I also agree not to hold these parties responsible in the event that my son/daughter/child engages in inappropriate conduct (including, but not limited to disruptive or volatile behavior, etc.). I further attest that the information contained in this application is correct to the best of my knowledge. In addition, I have agreed to the policy and fee statement and agree to comply. By clicking the submit button, I certify that I agree with all the policies mentioned above.