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Adduha Summer Retreat 2022
Please note: Children need to be accompanied by their father
Please complete the form from the point of view of the father.
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Email
*
Your email
Full Name of attendee in charge (adult/parent)
*
Your answer
Phone number
*
Your answer
How many people in total (including yourself) are you booking for?
*
1
2
3
4
5
Please provide full names and ages of all individuals you are booking for (including yourself)
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Address
*
Your answer
Do you have any medical history that you wish to inform us about? If so, please state it here
*
Your answer
Do you have any dietary requirements (aside from halal) or any allergies you wish to make us aware of?
*
Your answer
How will you be travelling?
*
In the coach provided by the Madrassah
I can make my own way there
Where did you hear about Ad-Duha?
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