AICP Winter Seminar / Dawrah 2016
First name
Your answer
Last name
Your answer
Email address
Your answer
Mobile number
Please use a cell phone number for texting purposes.
Your answer
Would you like to receive text messages pertaining to the seminar?
Mailing address (w/zip code)
Please make sure the address is complete for mailing purposes.
Your answer
How many adults and children are in your group?
To better prepare, we need to estimate the number of seminar attendees.
1
2
3
4
5
6
7+
Not applicable
# of adults
# of children (under 12 years)
How old are the children in your group?
Are you interested in enrolling your children in a Kids Program? The Kids Program fee is $75/child for the entire week.
We are considering the possibility of adding a Kids Program that runs during lectures. The Kids Program will function like our Saturday Schools with educational topics in Arabic and Islamic Studies.
What is your planned sleeping arrangement?
What is your planned date of arrival?
MM
/
DD
/
YYYY
What is your planned date of departure?
MM
/
DD
/
YYYY
Reserve a seat - for elderly and physically ill guests ONLY.
VERY limited quantities allocated for reservations. Requests will be held on first come, first-served basis. 1 chair can be reserved per household, NO EXCEPTIONS. You can ONLY reserve a chair for a member in your group. This is a courtesy for our older and physically ill brothers and sisters to make the Dawrah easier on them and to accommodate them for putting the effort to attend the sessions of knowledge. Please do not abuse this service so we can continue to offer such accommodations in the future.
Questions or comments
If you have any questions or suggestions, please let us know.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms