19411 Woodfield Road, Gaithersburg, Maryland 20879, USA
Program Fee:
One Time: $1.00
Offering Days: Thursday
Since you purchased free Ticket No Payment Required.
I, the undersigned, am the parent/legal guardian of the aforementioned child/children and am requesting admittance to the Quran or Arabic class. Furthermore, each STUDENT being enrolled is in good health, and does not suffer from any illness, disability, or condition that requires the taking of medication on a regular basis, and any such condition is disclosed to and is accepted by the camp administration. I also understand that there is no reason that each STUDENT on this form cannot or should not participate in vigorous practice or play. I, the undersigned, hereby expressly agree to be responsible for any medical bills incurred in the treatment of any illness or accident of the said STUDENT. In the event of any such accident or injury. I hereby give my full consent to allow the ICM Administration and ICM staff to procure any medical treatment deemed necessary and advisable on behalf of my child. I understand that, as a condition of admittance of each STUDENT, the undersigned, on behalf of all parents and guardians, and on behalf of the applicant(s), hereby release the ICM and its Staff and Administrator, all and every member of summer camp and ICM Staff, and the Instructors from all and any liability resulting from injury or illness, mental or physical, suffered by the STUDENT during or related to the school year,
