Program Registration ~ MOHID ©

Islamic Association of Collin County

6401 INDEPENDENCE PARKWAY, PLANO, Texas 75023, USA

Home

Donations Tickets Pledge Program Registration Membership Signup Member Login

EXPIRED

Youth Girls Night Out on the Town 3/14 - ages 13 and up - with Ustadha Maryam

14
MAR

9:30 PM

15
MAR

12:30 AM

Program Fee:

One Time: $20.00

Offering Days: Saturday

View Details

Reserved Seats: 27/67

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

Mother will chaperone? yes / no (click "view details" above)*

If yes, mother's phone number

Age*

Liability Form filled out? (tap "view details" above)*

+ 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 Islamic Association of Collin County 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 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 and agree that the event organizers, IACC Youth, and affiliated parties are released from any liability for injuries or damage.

Islamic Association of Collin County

homeHome

Youth Girls Night Out on the Town 3/14 - ages 13 and up - with Ustadha Maryam

1 Contact Information

2 Add Registrants

3 Payment

Payment Methods

Or

Payment Summary

Acknowledgement

Home