Youth Itikhaf Program
FREE - Any questions please call 8374 2280
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First Name *
Last Name *
Age *
Email *
Mobile Number *
Parent/Guardian Full Name *
Parent/Guardian Mobile Number *
Lodging this form will confirm your place in the program. Please bring a sleeping bag & spare clothes. Please arrive 6pm SAT 5th SEP at Marion Masjid 658 Marion Road, Park Holme. For children aged 12 or less a parent or guardian must join with their child for the full program. *
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