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Southend Mosque

Sunday Youth Club Registration 5-7 PM

Name Child 1
Name Child 2
Age Group 1
Allergies or disabilities

Emergency Contact

Please provide an alternative contact person in case of emergency. Emergency contacts must be over the age of 18 and capable of caring for the child if you are unavailable.
Emergency Contact's Name
"We’d be delighted if you could support us by volunteering as a parent—would you be interested?"
Are you happy to optional contribution £10 towards the cost of this event?
This contribution is optional
Donations