ICLI Art Program
Fall session September 29 to December 8th. 1:30 p.m. to 3:00 p.m.
For ages 4 and above. Classes are held every other Sunday.
Email address *
Childs Name *
Your answer
Childs Age *
Your answer
Parents Full Name *
Your answer
Parents Cell Number *
Your answer
House Address *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Mention any Allergies or Health Issues *
Your answer
Do you give Consent to ICLI to take photo/ video of your child? *
I grant full rights to ICLI to use the images resulting from the photography/ video filming and any reproductions or adaptations of the images for fundraising, publicity or other purposes to help achieve the group’s aims. This might include (but not limited to), the right to use them in their printed and online publicity and social media.
Name the people authorized to pick up the child *
Your answer
Payment Details
Payment per class is $25.00.
Payment for 6 classes is $150.00
Minimum Payment to register is $50.00
CLICK HERE TO PAY https://us.mohid.co/ny/newyork/icli/masjid/online/donation/index/61
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