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Tarbiyyah Camp 2024 Registration
Please complete the following form to register your child for Tarbiyyah Summer Camp 2024. 1 form per child
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* Indicates required question
Email
*
Your email
Child's Name
*
Your answer
Child's Birthdate
*
MM
/
DD
/
YYYY
Child's Shirt Size
*
Adult Small
Adult Medium
Adult Large
Youth Large
Has this child attended Tarbiyyah Camp in 2023?
Yes
No
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Please list any allergies or health conditions we should be aware of. Include medications if applicable.
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Please list the names and phone numbers of those who have permission to pick up your child
*
Your answer
Emergency Contact Name & phone number(not a parent)
*
Your answer
In case of medical emergency, your child will be transported to a nearby hospital. Which hospital do you prefer?
*
Your answer
A copy of your responses will be emailed to the address you provided.
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