Elementary/Middle School Boys' Ramadhaan Rush 2015

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Alsalaamu 'alaikum wa rahmatu Allaahi wa barakaatuhuu,

BEFORE filling out this form, fill out the mandatory main registration form for the e/m (3rd Grade - 8th Grade) school boys' programs at: http://tinyurl.com/iar-myc-ems-boys-2015

Days/Dates: Monday-Thursday, June 22 - July 16, 2015

Times: Mo - We, 12:45 p.m. - 5:00 p.m.; Th, 6:00 p.m. - 9:30 p.m. (iftaars)

Planned Activities: Qur'aan discussions and reflections, sports, experiments, hands-on activities, outings, and Islaamic education

Start Date: Monday, June 22, 2015, inn shaa'a Allaah.

Volunteering Opportunity: Fathers, please volunteer even if once a week.

Cost: $125 / person

If you are able to, and wish to, donate, please do so in the form of money, time, supplies, etc., wa baaraka Allaahu feekum.

Contacts: Brother Mahen Mohammad Khan (mahenmkhan@gmail.com) and Brother Aatif Abdul-Qadeer.

Ahsana Allaahu ilaikum.

Participant's Full Name *

Completed the 2015 Main Programs Registration Form (link above)? *

Please check at this link: tinyurl.com/iar-myc-ems-boys-2015-check

No - I know that without filling it NO spots are reserved for the participant

Yes - I checked at the link above and the participant's name is there without payment and I will pay the annual fee ($10) with this program's fee

Yes - I checked at the link above and the participant's name is there and the annual fee ($10) is paid

Parent's Name *

This is to help differentiate between participants with similar/same names.

Volunteering Availability!

Fathers, if you are able to volunteer (and/or would like a discount), please select which days you will commit to.

Mondays (1:00 - 5:00 p.m.)

Tuesdays (1:00 - 5:00 p.m.)

Wednesdays (1:00 - 5:00 p.m.)

Thursdays (6:00 - 9:45 p.m.)

Payment Plan Desired? *

Will you need to have the fees submitted in installments or reduced in amount?

Yes

Donations

If you would like to donate towards the program (including towards others' attendance costs), please indicate amount.

$10

$20

$30

$40

$50

Other:

Clear selection

Registration Fee Submitted/Discussed? *

$125 plus any donation amount from above. Registration is incomplete until payment is received/approved, and we will match payments received with the answers in the database for this form (for record keeping), inn shaa'a Allaah. Baaraka Allaahu feekum.

Yes - Paid Brother Mahen M. Khan

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