ZIC Children's Muharram 1445 Program Registration Form

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ZIC Children's Muharram 1445 Program Registration Form

Zainabiya Islamic Centre - Children's Muharram 1445 Program

* Please note there is no fee for this program, donations are welcome towards ZIC.

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* Indicates required question

Email *

Your email

First Name *

Your answer

Last Name *

Your answer

Email *

Your answer

Phone Number *

Your answer

Gender *

Male

Female

Please select the nights you plan to attend *

1st Night of Muharram

2nd Night of Muharram

3rd Night of Muharram

4th Night of Muharram

5th Night of Muharram

6th Night of Muharram

7th Night of Muharram

8th Night of Muharram

9th Night of Muharram

Required

Children's Muharram Program

A copy of your responses will be emailed to the address you provided.

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