Program Registration ~ MOHID ©

Registration Open

The Noor Center Youth Halaqa

21
SEP

12:00 AM

30
JUN

12:00 AM

Program Fee:

One Time: $25.00

View Details

Reserved Seats: 7/500

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

Youth Name*

Grade/ School Year *

Which halaqa are you registering for?*

Youth’s hobbies and interests

What would you like your youth to gain from the halaqa?

Why are interested in Youth Halaqa?

+ 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.

Agree Decline

Payment Summary

Program Fee

Total Registrants

Total Cost

Acknowledgement

By submitting this registration, I confirm that the information provided is accurate and that I am registering myself or have permission to register the participating youth. I understand that participation in The Noor Center Youth Halaqa requires respectful behavior and adherence to The Noor Center’s guidelines and expectations.

I understand that program details, schedules, and activities may be updated throughout the year and that important information will be communicated using the contact information provided during registration.

The Noor Center

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The Noor Center Youth Halaqa

1 Contact Information

2 Add Registrants

3 Payment

Payment Methods

Or

Payment Summary

Acknowledgement

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