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Course Form
UMB Admininstrator
2024-11-01T20:44:05+10:00
Application form
(All Ages 5+)
Application Form - Logan
Application options
Book for yourself, your partner, AND children at the same time!
I am applying for:
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Myself
My married partner
My children
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ADULTS MEN (AGES 18+) SHARI'AH COURSE TUESDAY 7:00PM - 8:30PM
ADULTS WOMEN (AGES 18+) SHARI'AH COURSE TUESDAY 10:30AM - 12:00PM
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ADULTS MEN (AGES 18+) SHARI'AH COURSE TUESDAY 7:00PM - 8:30PM
ADULTS WOMEN (AGES 18+) SHARI'AH COURSE TUESDAY 10:30AM - 12:00PM
Name
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Female
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Child 1
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TEEN BOYS (AGES 12-17) ISLAMIC SHARIAH SATURDAY 9:00AM - 11:00AM
TEEN BOYS (AGES 12-17) ISLAMIC SHARIAH SATURDAY 11:00AM - 1:00PM
KIDS AND TEEN BOYS (AGES 5-17) QUR'AN MONDAY - THURSDAY 5:00PM - 6:30PM
KIDS AND TEEN GIRLS (AGES 5-17) QUR'AN MONDAY & WEDNESDAY 4:30PM - 6:30PM
KIDS AND TEEN GIRLS (AGES 5-17) QUR'AN TUESDAY & THURSDAY 4:30PM - 6:30PM
Name
(Required)
First
Last
Gender
(Required)
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Male
Female
Age
(Required)
Please enter a number from
5
to
17
.
Child Medical Information
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Add 2nd child
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Child 2
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Course
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TEEN BOYS (AGES 12-17) ISLAMIC SHARIAH SATURDAY 9:00AM - 11:00AM
TEEN BOYS (AGES 12-17) ISLAMIC SHARIAH SATURDAY 11:00AM - 1:00PM
KIDS AND TEEN BOYS (AGES 5-17) QUR'AN MONDAY - THURSDAY 5:00PM - 6:30PM
KIDS AND TEEN GIRLS (AGES 5-17) QUR'AN MONDAY & WEDNESDAY 4:30PM - 6:30PM
KIDS AND TEEN GIRLS (AGES 5-17) QUR'AN TUESDAY & THURSDAY 4:30PM - 6:30PM
Name
(Required)
First
Last
Gender
(Required)
Select a gender
Male
Female
Age
(Required)
Please enter a number from
5
to
17
.
Child Medical Information
(Required)
Add 3rd child
Add 3rd child
Child 3
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Course
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TEEN BOYS (AGES 12-17) ISLAMIC SHARIAH SATURDAY 9:00AM - 11:00AM
TEEN BOYS (AGES 12-17) ISLAMIC SHARIAH SATURDAY 11:00AM - 1:00PM
KIDS AND TEEN BOYS (AGES 5-17) QUR'AN MONDAY - THURSDAY 5:00PM - 6:30PM
KIDS AND TEEN GIRLS (AGES 5-17) QUR'AN MONDAY & WEDNESDAY 4:30PM - 6:30PM
KIDS AND TEEN GIRLS (AGES 5-17) QUR'AN TUESDAY & THURSDAY 4:30PM - 6:30PM
Name
(Required)
First
Last
Gender
(Required)
Select a gender
Male
Female
Age
(Required)
Please enter a number from
5
to
17
.
Child Medical Information
(Required)
Add 4th child
Add 4th child
Child 4
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Course
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TEEN BOYS (AGES 12-17) ISLAMIC SHARIAH SATURDAY 9:00AM - 11:00AM
TEEN BOYS (AGES 12-17) ISLAMIC SHARIAH SATURDAY 11:00AM - 1:00PM
KIDS AND TEEN BOYS (AGES 5-17) QUR'AN MONDAY - THURSDAY 5:00PM - 6:30PM
KIDS AND TEEN GIRLS (AGES 5-17) QUR'AN MONDAY & WEDNESDAY 4:30PM - 6:30PM
KIDS AND TEEN GIRLS (AGES 5-17) QUR'AN TUESDAY & THURSDAY 4:30PM - 6:30PM
Name
(Required)
First
Last
Gender
(Required)
Select a gender
Male
Female
Age
(Required)
Please enter a number from
5
to
17
.
Child Medical Information
(Required)
Emergency Number
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