In the event of a minor (under 18) the following fields must be completed:

I understand that participation in the above-mentioned program is voluntary. I will not hold Madina Institute responsible for any loss, injury, damage or inconvenience to myself or my property. If the youth participant who has registered is under the age of 18, this form was completed by the parent and the parent has given consent for the form. Refreshments and lunch will be served. Regrettably, dietary restrictions and food allergies cannot be accommodated - in the event of any special food requirements, participants will bring in packed lunch and snacks. Youth participants understand that a code of good conduct is expected - this includes respectful interactions with peers, no smoking and limited phone usage during sessions. The event may be photographed and video-recorded - in the event that I would prefer not to be in the photos or videos, it is my responsibility to take the necessary steps to avoid being inline of the cameras.