EYNA - Soccer Application
Dear Respected Parents, 
HomdoliAllah, we are going to start a soccer program for kids (Boys and Girls).

Time: Every Sunday from 10:00 am to 11:30 am.
Location: 46 Church Rd, Elkins Park, PA 19027 (location may change)

Prices: 
Because we are renting indoor soccer field for a period of time, we are charging $220 per kid for three months (December 1, 2024 to March 2, 2025). 

If you have questions, please contact Brother Aziz at: 215-459-9051

Jazakom Allaho Khayran
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Gender of your kid
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Is your kid attend EYNA Arabic School?
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Kid's First Name
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Kid's Last Name
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Kid's Date Of Birth
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Kid's Address
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Parent's First & Last Name
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Parent's Cell Phone Number
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Parent's Email Address
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Name of another person in case of emergency: *
Phone of the other person in case of emergency: *
If your child has health problem (or food allergies), please describe the issue. If not please type N/A: *
Liability waiver: By selecting " Agree" indicates my agreement to waive and release EYNA from all liability for any injury or illness incurred while participating in activities on-site as well as outside the building and on field trips, provided harm is not caused by gross negligence on the part of EYNA. I understand that EYNA shall have no responsibility to pay for medical treatment and related costs if said minor child is injured. *
Photos’ authorization: By selecting "Agree" indicates my permission to EYNA to use my kid(s)’ photograph to be used in print publications, presentations, website, or social media, please sign below. *
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