ON-SITE OR ONLINE SUMMER CAMP 2021 APPLICATION
Register for Hillside Islamic Center's summer camp now! Please make arrangements to make payments for the tuition prior to submitting this form. Please note online and on-site camps are offered separately. They can not be combined or taken as hybrid.
SUMMER CAMP 2021 (On-Site or Online @ HIC)
This application is for *
Guardian's Name *
Guardian's E-mail *
How many children are you registering? *
Write the full name of each child, age and gender below: (Example: Abdullah Khan, 12, Male, Sarah Khan, 11, Female, etc.) *
Full Address (Example: # Street, Apt, City, State, Zip) *
Cell Phone #, Home # and Emergency # (Example: 555-555-5555, 777-777-7777, 999-999-999) *
Any allergies, illnesses or special needs? *
Can we add you to our camp whatsapp group? It’s only for admin use and in case of an emergency. *
May we share your child’s pictures on the HIC website or Facebook for educational purposes? *
DO NOT submit this form until payment has been made. Please make payment via HIC website in order to complete registration. Please note that the price for online and on-site are different. Please make sure to pay the correct amount to complete the process. https://www.hicny.org/ (Select Programs, then Summer Camp) *
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