APEX MOSQUE SUMMER PROGRAM       Registration / Payment Form 2023.
This Form is hereby a contract between the Education Committee of Apex Mosque and the Parent/Guardian.

Apex Mosque Summer Program

AGES: 4 – 14 Boys and Girls.

ACTIVITIES: Quran/Islamic Studies, Sports, Arts, Crafts, Science fun, Robotic Coding, Teambuilding Games!

DAYS: Tuesdays - Wednesdays – Thursdays.

MONTH: July.

DATES: 07/5 – 07/6 – 07/11 – 07/12 - – 07/13 – 07/18 – 07/19 - – 07/20 – 07/25 – 07/26 – 07/27

TIMES: 10:00 A.m. – 2:00 p.m.

 WHERE:  Apex Mosque - 733 Center St. Apex, NC 27502.

TUITION: $250/person; discounts for multiple Siblings.

Siblings:
First child: $250
2nd Child: $200
3rd child: $200
4th child:$200
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Father's  Name *
Mother's Name *
Primary Phone Number *
Primary E-Mail address *
Home Address *
Name of 1st Child *
Date of Birth *
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Age *
Gender *
Name of 2nd Child
Date of Birth
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Gender
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Name of 3rd child
Date of Birth
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Age
Gender
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Name of 4th child
Date of birth
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Age
Gender
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