Program Registration ~ MOHID ©

MAS - Community and Youth Center

3155 Dwight Road, Elk Grove, California 95758, USA

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Registration Open

Sunday School Registration Spring 2024 (tuition + Books)

15
SEP

10:00 AM

15
DEC

2:00 PM

Program Fee:

One Time: $240.00

Offering Days: Sunday

View Details

Reserved Seats: 85/90

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

is this your Child's first time at MCYC sunday school*

Grade Level of Your child*

is your child special needs? *

what surah(s) have they memorized: *

What are your child(ren) emergancy contact phone number: *

does your Child have an allergy? if so what is it?

Birth DATE of the child (xx/xx/xxxx)

+ Add More Registrants

3 Payment

You can help save us on credit card transaction fees by selecting the eCheck/ACH option. Jazak'Allah!

Payment Method

eCheck/ACH titleIcon

Credit/Debit Card

Name on Credit Card *

Credit Card Number*

Expiry Date*

CVV Code*

Bank Name

Name on Account *

Account Number*

Routing Number*

Account Type*

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.

Consent * Do you give MAS - Community and Youth Center consent to authorize electronic fund transfer from the account specified for this transaction in the amount specified.

Agree Decline

Promotion Code Promotional Price Applied

Since you purchased free Ticket No Payment Required.

Comments

Payment Summary

Program Fee

Total Registrants

Total Cost

Acknowledgement

By registering , you acknowledge that you will follow all the instructions provided to you by the Masjid for your and other community member's safety.

By registering you acknowledge that you have read all of the detials in the “detials” section of this Mohid form, including the parent Handbook.

MAS - Community and Youth Center

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Sunday School Registration Spring 2024 (tuition + Books)

1 Contact Information

2 Add Registrants

3 Payment

Payment Summary

Acknowledgement

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