30 Days of Fajr Registration
Email address *
30 Days of Fajr!
Parent Email Address(es) *
First Name (Child 1) *
Last Name (Child 1) *
First Name (Child 2)
Last Name (Child 2)
First Name (Child 3)
Last Name (Child 3)
I agree to transport and/or make arrangements for my child to and from TMCC Facility at 3319 Nebraska Ave, Toledo, OH 43607 promptly before and after Fajr and understand that failure to responsibly do so may disqualify my child from the competition. *
Youth Phone Number (s) *
Parent/Guardian Phone Number *
Emergency Contact Phone Number *
Are there any medical conditions your child/children has/have that TMCC Mentors need to be made aware of for participation in this event? *
Liability Release: In consideration of the furtherance of your purposes, objectives and aims, and in consideration of you permitting me to participate in your 30 DAYS OF FAJR, on behalf of myself, my heirs, executors, administrators and assigns, I hereby waive and release any and all rights and claims for damages which I may have against you, Toledo Muslim Community Center, as well as any other person, sponsors, organization or corporation, their heirs, executors, administrators, and assigns who are providing services or assistance as a result thereof. PARENT SIGNATURE: *
Authorization For TreatmentI hereby grant permission for my child(ren) to participate in the 30 DAYS OF FAJR. Any health concerns or consideration should be acknowledged in writing along with the release form. In the event I cannot be reached in an emergency, I hereby give my permission to a physician selected by the staff to secure and administer treatment, including hospitalization. I consent to an ambulance being called to transport the child(ren), if necessary, and further understand that I am fully liable for all costs incurred for the transportation. I further agree to hold harmless Toledo Muslim Community Center and/or the 30 DAYS OF FAJR STAFF/VOLUNTEERS, whom are conducting the activities, from any and all claims, suits, losses or related causes of action for damages, including but not limited to such claims that may result from injury or death, accident or otherwise, during or arising in any way from the activities or transportation to and from said activities. PARENT SIGNATURE: *
Transportation ConsentI hereby consent to the above registrant(s) be permitted to participate in 30 DAYS OF FAJR, and other activities that might involve the use of bus, vans and/or cars as a form of transportation if applicable.  PARENT SIGNATURE: *
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