Program Registration ~ MOHID ©

Registration Open

Seerah for Little Hearts

14
SEP

7:00 PM

14
JUN

8:00 PM

Program Fee:

One Time: $20.00

Offering Days: Monday

View Details

Reserved Seats: 3/20

1 Contact Information

First Name *

Last Name *

Phone Number *

Email Address *

Address1 *

Address2

Country *

State *

City *

Zip Code *

Cell Number

2 Add Registrants

Primary Contact as First Registrant

Registrant Name*

Email Address

Age

Gender

Choose Program

+ Add More Registrants

3 Payment

Monthly Recurring

Recurring Start Date*

Number of Months*

For Lifetime

Please note: You will incur a $1 charge if the recurring start date is not current date in order to verify the payment details provided. This charge will not be credited back to your account and you will receive a test transaction receipt for this amount.

Promotion Code Promotional Price Applied

Since you purchased free Ticket No Payment Required.

Comments

Payment Methods

Or

Google pay Apple pay Credit/Debit Card eCheck/ACH

Name on Credit Card *

Credit Card Number*

Expiry Date*

CVV Code*

Bank Name

Name on Account *

Account Number*

Routing Number*

Account Type*

Consent * Do you give The Noor Center consent to authorize electronic fund transfer from the account specified for this transaction in the amount specified.

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Payment Summary

Program Fee

Total Registrants

Total Cost

Acknowledgement

By registering, I acknowledge that my child is participating in the Seerah for Little Hearts program at The Noor Center. I understand that my child is expected to follow all instructions given by program leaders and volunteers for their safety and the safety of others. I also understand that parents are responsible for timely drop off and pickup.

I will not hold MAS Maryland or The Noor Center liable for any injury, accident, loss, or incident that may occur during participation in this program, except in cases of gross negligence or willful misconduct.

The Noor Center

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Seerah for Little Hearts

1 Contact Information

2 Add Registrants

3 Payment

Payment Methods

Or

Payment Summary

Acknowledgement

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