Soccer Registration Form
Location: Masjid Al-Rayyan 
Gender: Boys only
Day and Time: TBA 
Fees:$35 per month
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Registration Form
Parent Information 
Relationship to Child *
Required
First Name *
Last Name *
Cell Phone Number *
Email *
Home Address *
Emergency Contact (Name and Phone Number) *
Student Information
First Name *
Last Name *
Date of Birth *
Cell Phone Number (if available)
Submit
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