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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