iLM TREE's (4-week) Summer Program July registration form!
July 6th to 30th. Please fill out each category carefully and review before submitting. For our fees, please refer to the last section on this form. Thank you
Parent Name
*
First Name
Last Name
Parent Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent Email
*
example@example.com
How many children are you registering
*
Please Select
1
2
3
4
5
6
1st Student
*
First Name
Last Name
Age
*
2nd Student
First Name
Last Name
Age
3rd Student
First Name
Last Name
Age
4th Student
First Name
Last Name
Age
5th Student
First Name
Last Name
Age
Any known allergies?(please list names of children alongside allergies)
QR Code
Please check the total number of children you are registering for the summer program. Please ensure total is correct before submitting. If you encounter any issues with the payment section, please contact our admin at admin@themasjid.org **PLEASE NOTE, THAT PAYMENTS ARE NON-REFUNDABLE AFTER THE FIRST WEEK OF THE SUMMER PROGRAM**
*
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1 Student
$150.00
$
150.00
Quantity
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2
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10
2 Students
$290.00
$
290.00
Quantity
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2
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9
10
3 Students
$420.00
$
420.00
Quantity
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2
3
4
5
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9
10
4 Students
$550.00
$
550.00
Quantity
1
2
3
4
5
6
7
8
9
10
5 Students
$680.00
$
680.00
Quantity
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10
Credit Card
Submit
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