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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Email *
Child's Name *
Child's Birthdate *
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Child's Shirt Size *
Has this child attended Tarbiyyah Camp in 2023?
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Please list any allergies or health conditions we should be aware of. Include medications if applicable.
Parent/Guardian Name *
Parent/Guardian Phone Number *
Please list the names and phone numbers of those who have permission to pick up your child *
Emergency Contact Name & phone number(not a parent) *
In case of medical emergency, your child will be transported to a nearby hospital. Which hospital do you prefer? *
A copy of your responses will be emailed to the address you provided.
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