Camper Registration

Eligibility: Youth ages 9 thru 17
Deadline: June 26th, 2010
Cost: $285 US per camper ($295 after deadline).
Make checks payable to Camp Al-Hilal.

Registration is now closed

 

1. Last Name:(required)
2. First Name:(required)
3. Address:(required)
4. City:(required)
5. Email (use a valid email address):(required)
6. Zip Code:(required)
7. State:(required)
8. Gender:
9. Male Female
10. Telephone #:(required)
11. Date of Birth (mm/dd/yyyy):(required)
12. Age: (required)
13. Are you a previous attendee?
14. Yes No
15. Parent/Gaurdian Information
16. Telephone #:(required)
17. Parent/Gaurdian Name:(required)
18. Transportation to Camp will be available via school busses. If desired please choose a location at no additional cost. Please check the appropriate box location for pick-up/drop-off
19. IAGD Unity Center Muslim Center (Detroit)
20. Camp T-Shirts are avaliable for $15.00. If you would like to purchase a T-shirt include $15.00 to the registration fee and choose your shirt type
21. Shirt Type
22. Long Sleeve Short Sleeve
23. Shirt Size:
24. S M L XL XXL

 

cforms contact form by delicious:days

Important Notice:

1. Please note your registration is not complete until payment is received
2. Health forms, maps and other info will be sent to you by July 3rd.
3. Please enclose payment with this form to:
   Camp Al-Hilal
   3177 Hedgewood Lane
   Rochester Hills, MI 48309

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