Young Muslims Halaqa For Boys – G 1-5 at the ISG Boys Halaqa Grade: 1-5 Location: Islamic Society of Gloucester Saturdays from 6:00 pm to 8:00 pm starting September 27 NameThis field is for validation purposes and should be left unchanged.Parent InformationName(Required) First Last Email(Required) Enter Email Confirm Email Phone(Required)Child InformationName(Required) First Last Grade(Required)12345Emergency Contact InformationName(Required) First Last Phone(Required)Consent and Waiver AgreementMedical Consent:(Required)Should it become necessary for my child(ren)/ward(s) to receive medical care, I hereby authorize a Halaqa staff member to use his/her best judgement in obtaining such care. I also understand that in the case of accident or illness I will be notified as soon as possible. I agree.Permission for Use of Photographs:(Required)I agree to the use of my child(ren)/ward(s) image included in photographs and videos taken during the Halaqa in materials provided to participants and in promotional materials related to the Muslim Association of Canada's activities, including on the MAC website or social media feeds. I agree.Liability Waiver:(Required)I hereby waive, release, and discharge any and all claims for damages for personal injury, property damages or which may hereafter occur to my child, a result of participation in the Halaqa. This release is intended to discharge in advance the Muslim Association of Canada, its officials, officers, employees, volunteers and agents from liability, even though that liability may arise out of perceived negligence on the part of persons mentioned above. It is understood that some recreational activities, including trips and swimming, involve an element of risk or danger of accidents, and knowing those risks, I hereby assume those risks. It is further understood and agreed that this waiver, release and assumption of risk is to be binding on my heirs and assignees. I agree.
