Camp Al Asr Registration

Camp Al Asr Registration

Registration form for a Muslim Camp Form Preview
  • 2015 Camp Al Asr Registration


  • Assalam alaikum wa rahmatullahi wa barakatu!

    Welcome to registration for the 2015 Session of Camp Al Asr. We are very happy to be offering Camp Al Asr for our third consecutive year, alhamdulillah.

    Camp 2015 is scheduled for July 19th to 24th, 2015.

    The form below may be used to register up to 4 campers. All registered full-time campers must be above 10 years old by the first day of camp.

    Full-time Campers will reside at the campgrounds for the duration of camp.
    Day Campers will be registered for daily trips and activities and must be accompanied by a parent/guardian if between the ages of 8-9.

    Note: Coupon codes will only apply if paying by Paypal/Credit/Debit

    For questions, please contact Khadija via email: or call: 703 951 3745

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  • Emergency and Medical Information

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  • Payment & Refund Policy

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    Total:   $ 0.00
  • If paying by check or money order, please mail to:

    Camp Al Asr c/o Khadija Zaidi
    12950 Center Entrance Court,
    Manassas, VA, 20109

    Cash must be delivered in person. Registration fees may be given to Imam Nahidian, Khadija Zaidi, or Yusuf Rambo. Registration will be considered complete upon receipt of all payment.

    A full refund of camp fee is made if notice is given to Camp Al Asr by the early registration deadline of May 1st, 2015. A 50% refund is made if notice is given to Camp Al Asr no later than the beginning of camp on July 19th, 2015.

    No refund will be made once the camp starts.

    All refunds are processed after the camp ends on July 24th, 2015.

  • Liability/Photo/Video Release

  • I, as the registered am 18 or over, or I am a parent or legal guardian of the registered who is currently under the age of 18, grant permission for the registered camper to attend Camp Al Asr and consent to its Discipline Policy and also do hereby release Camp Al Asr and Manassas Masjid from any and all liability or responsibility due to any injury that he/she/I may incur as the result of, or arising in any way from participation in activities at or under the direction of Camp Al Asr. Each camper is responsible for whatever personal belongings they bring to campgrounds. I am fully aware and consent to accept these risks and voluntarily agree to allow his/her participation in activities. I furthermore understand Camp Al Asr often takes photographs or videos of participants during its activities or events. I grant permission without compensation that these photographs or videos may be used in publications, presentations, websites or promotion of Camp Al Asr or Manassas Masjid. Camp Al Asr will not identify me or my child by name, or release any other personal information without additional written permission from me.

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