Camp Salam Level 1 - MCC: Muslim Community Center

MCC Camp Salam Registration (Level 1)

MCC’s 5th Annual Camp Salam is coming up! Register your kids for a summer of classes, games, projects, trips, and other fun activities TODAY!

Register Now

Child's Information

Child's Name *

First

Last

Child's Age *

Only children ages 4-5 are eligible for Level 1.

Is your child presently being treated for an injury, sickness, condition or taking any form of medication for any reason? *

Is your child allergic to any type of food or medication? *

Parent's Information

Parent's Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact Information

Name *

First

Last

Phone *

Terms & Conditions

Checkboxes *

I agree to the following terms: *

I understand that I will be notified in the case of a medical emergency involving my child. In the event that I cannot be reached, I authorize the calling of a doctor(ER) and the providing of necessary medical services in the event my child is injured or becomes ill.

I understand that MCC Camp salam will not be responsible for the medical expenses incurred, but that such expenses will be my responsibility as parent/guardian.

Payment

Camp Salam Registration Fee

Price: $ 250.00

Stripe Credit Card *

Card

Name on Card