MYCC Youth Program Registration
Alsalaamu 'alaikum wa rahmatu Allaahi wa barakaatuhuu

This form is for MYCC's youth program for boys ages 7-14.

The program will consist of an Islamic talk, sports, and social time with snacks.

The program will be every Saturday from 10:30 am-1:30pm

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Participant's Full Name *
Participant's Age *
Parent's Full Name *
Parent's Email *
Parent's Phone Number *
Emergency Contact *
Emergency Contact Phone Number *
Allergies (Please use the box below to describe any special care needs, dietary requirements, allergies or medical condition, if none put N/A) *
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