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Register - Quran & Me

Quran & Me Registration Form (September 2019) *There is no confirmation email, the location will be emailed a few days in advance*

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Name *

First

Last

Phone Number *

Email *

Are you bringing any guests? *

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If so, how many? *

Are you interested in hosting a Quran & Me event? *

Yes No

Would you be willing to assist with the set up/clean up of the event? *

Yes No

Do you have any dietary restrictions? *

Yes No

If so, what are they? *

I understand that there will be photos taken at the event for social media purposes and that by attending this event I am at risk of my photo being taken. I understand that there will be photos taken at the event for social media purposes and that by attending this event I am at risk of my photo being taken. *

Yes No

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Home
ABOUT US
Programs
- Adult Programs >
- Youth Programs >
  - Elevate - 9th-12th Grade
  - Camp Z - 9th-12th Grade
I'm New
Good News
- Blog
- Media
- Volunteer/Staff
- Eid Cards
- Contact Us
- Scholarships
Events
Give

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