Brothers' Basketball Drop-In

Registeration

Information submitted through this form is used by NICC only for the purpose of this basketball session
Your Full Name *

First NameLast Name
E-mail*
example@example.com
Phone Number*
Please enter a valid phone number
Age*
Age requirement for this program is 13+
Do you have any medical conditions we should be aware of?*
Add "N/A" if none
Emergency Contact Name*

First NameLast Name
Emergency Contact Number*
Please enter a valid phone number.
Skill Level*

BeginnerIntermediateAdvanced
How did you hear about this drop-in*
Specify how did you hear about us (if not listed above)
Would you like to join our Brothers Sports WhatsApp Group?*

YesNo

Waiver and Consent

Please read carefully
I understand that by participating in this basketball drop-in, I do so at my own risk. Niagara Islamic Community Centre (NICC) and organizers are not liable for any injuries, accidents, or lost items. I agree to follow the rules and uphold respectful conduct in line with Islamic values.
I have read and agreed to the waiver and consent terms*

Yes

Drop-in Fee Payment ($5/person)

Your spot will only be reserved once payment is received
How will you pay?*

I will e-transfer $5/person to niagaramuslims@gmail.comI’ve already paid via e-transferI will pay via card payment through this form
Please E-TRANSFER the amount for the basketball session to NIAGARAMUSLIMS@GMAIL.COM
If you sent payment via e-transfer, what is the name associated with your e-transfer payment?*
Please upload screenshot of completed e-transfer*

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Registeration