Masjid Furqaan Bolingbrook

Girls Only Iftar Registration

Step 1: Number of Girls Attending
Step 2: Parent / Guardian Information
Step 3: Child Information
Waiver, Release of Liability & Acknowledgment

By signing below, I acknowledge that I am the parent or legal guardian of the children listed on this form and grant permission for them to participate in the Girls Only Iftar program at Masjid Furqaan Bolingbrook. I understand and agree that participation is voluntary. I release and hold harmless the organizers, volunteers, staff, and hosting facility from any and all claims, liabilities, or damages arising from my child's participation. I understand and agree to the stated drop-off and pick-up times and acknowledge that I am responsible for timely pick-up of my children.

Payment

Registration Fee

Girls attending:
1 × $10
Subtotal: $10.00

Optional Donation

Support ongoing community programs

Donation amount:
$
Total Due $10.00