home
young muslim
icna relief
sister wing
mcna
contact
about us
why islam?
companion
events
membership
khutba
donate
virtual library
quran
companions of prophet Muhammad
camping 2010
photo gallery
Young Muslims
Wekiva Youth Camp
Camp Focus: Islam the way of Nature
Registration Deadline 31st December, 2009
Camping Dates: January 16 Thru January 18, 2010
Saturday thru Monday, Check in 3:00 PM Check out 1:00 PM
Venue : 1800 Wekiva Circle , Apopka , Florida 32712
Registration Form
(Click
here
to download the registratoin form.)
Parent Name:
Address:
City:
State:
Zip:
Email:
Tel:
Cell:
Children Name
M/F
Date of Birth
1.
2.
3.
4.
Age : 8 - 18 years
Gender: Boys and Girls in separate cabins
Camp Capacity: 120 Students
Pricing: $100.00 per student
Credit Card Information:
Credit Card Type
Visa
MasterCard
Discover
American Express
Credit Card Number
Card Verification Value
What is this?
Expiration Date
01
02
03
04
05
06
07
08
09
10
11
12
/
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
Amount:
Exact Name:
(As appears on the card)
Our Privacy Policy
I agree with the terms and conditions of YM Youth Camp 2009 and abide by it as set by management. I understand that organizer has right to cancel this registration as deem necessary for camp.
Parent Signature:
2007©ICNA-Florida
