2026 Ramadan MYBC Youth Activities

MYBC will empower youth with a strong Islamic identity, leadership skills, and meaningful connections, inspiring transformative change in their lives and communities, all guided through an Islamic lens.
For inquiries on weekend program, contact Yahya Dajani at (850) 329-0644

Financial Assistance

*MYBC does not deny participation in any of their programs due to members financial constraints.*
If you are unable to pay the full tuition, please contribute any amount that you can afford. ($50 minimum)

Your support ensures the continuity and effectiveness of this program. We deeply appreciate your generosity in helping sustain this initiative for our youth.
For inquiries on weekend program, contact Yahya Dajani at (850) 329-0644
Are you paying the full tuition ?

YesNo, I can't pay full tuition due to financial constraints but I will contribute what can.

Parent Information
Date

MonthDayYear
Date
Parent 1 Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Add A Second Parent*

YesNo
Parent 2 Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.

BCIS/MYBC Liability Waiver

I, the undersigned, certify that I am an adult (I am not less than 18 years of age),and I am the parent/legal guardian of the child/participant to be enrolled in Muslim Youth of Bay County Ramadan Program 2026, and I agree to the following: By enrolling the above child/participant with the Bay County Islamic Society & Muslim Youth of Bay County Ramadan Program 2026, I certify that such individual/participant is in good physical and mental condition and can participate in all Muslim Youth of Bay County Ramadan Program 2026 activities. I agree to and will hold harmless the Bay County Islamic Society & Muslim Youth of Bay County, their directors, officers, agents, employees, representatives, independent contractors, Panama City Advanced School, and any other facilities or venues where any activity may take place, from any liability whatsoever and any damages, losses, costs, medical expenses, and any other expenses. I agree to hold harmless each of them, and I agree to release them from any liability in whole or in part for any accidents, illness, or injuries, whether or not resulting in medical or dental expenses incurred from participation in this program. I hereby release each of them from and against any and all damages, claims costs, liabilities, and injuries incurred while participating in any and all of the activities of Bay County Islamic Society & Muslim Youth of Bay County. I agree to assume full and complete responsibility for any and all medical bills from any potential costs incurred. In the event of any injury or emergency, I authorize Bay County Islamic Society & Muslim Youth of Bay County to exercise their judgment in the treatment of said participant by any medical authority. I acknowledge that I have carefully read, fully understand, and agree to all of its terms. I execute this release voluntarily and with full knowledge of its significance to be binding on myself, administrators, and assigns.
Signature*

Powered by Jotform SignClear

Financial Assistance

*MYBC does not deny participation in any of their programs due to members financial constraints.*
If you are unable to pay the full tuition, please contribute any amount that you can afford. ($50 minimum)

Your support ensures the continuity and effectiveness of this program. We deeply appreciate your generosity in helping sustain this initiative for our youth.
Full Tuition Program Cost
Please enter an amount greater than (Minimum Amount):
What amount can pay out of the total tuition shown above?*
($50 per child minimum for program cost + apparel cost)
Scholarship Total + Percentage
Please enter an amount that's greater than the amount shown above. Please enter any amount greater than ${pleaseEnter}
Final Amount to place in My Total

Should be Empty:

MYBC will empower youth with a strong Islamic identity, leadership skills, and meaningful connections, inspiring transformative change in their lives and communities, all guided through an Islamic lens.

Parent Information

Student/s Information

BCIS/MYBC Liability Waiver

Payment Methods