Program Registration ~ MOHID ©

Registration Open

Jun 20th - 5v5 Mini World Cup

20
JUN

10:00 AM

20
JUN

9:30 PM

Program Fee:

One Time: $20.00

Offering Days: Saturday

Reserved Seats: 18/150

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

Child First Name *

Child Last Name *

Child Date of Birth (MM/DD/YYYY, e.g., 12/18/2002))*

T-Shirt Size (YS, YM, YL, YXL, Adult S, Adult M)*

Emergency Contact Name *

Emergency Contact Phone *

Medical / Allergy Notes

Question or Concerns?

+ 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 for this program, I confirm that I am the parent or legal guardian of the child listed above. I understand that participation in sports and recreational activities involves inherent risk. I voluntarily allow my child to participate in the Noor Center Mini World Cup 2026 and agree to the event waiver and release of liability.

The Noor Center

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Jun 20th - 5v5 Mini World Cup

1 Contact Information

2 Add Registrants

3 Payment

Payment Methods

Or

Payment Summary

Acknowledgement

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