ICN Adults Sparring, Striking, and Grappling Class 2023 Registration

Adults Sparring, Striking & Grappling Classes 2023 - Registration Form
The classes will be held at ICN 75th Street masjid - 25W530 W 75th Street, Naperville, 60565.

***** Classes are for ADULTS only *****
Name:*

First NameLast Name
Phone Number:*
Please provide cell phone number
Primary Email:*
example@example.com
Medical Emergency contact person:
Alternate Contact:*

First NameLast Name
Daytime Phone Number:*
I hereby grant permission to Islamic Center of Naperville, or its authorized agent(s), to seek medical help for me in case of emergency when, for reasons beyond their control, the authorized person(s) above cannot be reached.*

Clear

Select number of months wishing to be enrolled in the program:*

Adult Workout ClassesAdults Sparring, Striking and Grappling Classes One (1) Month Registration Fees

$40.00

Adult Workout ClassesAdults Sparring, Striking and Grappling Classes Two (2) Months Registration Fees

$80.00

Total

$0.00

Adults Sparring, Striking & Grappling Classes 2023 - Registration Form