spiritual weekend with sheikh shomali registration form

IntheNameofGod,theMerciful,theBeneficient

Ahlul-BaytScoutsOttawa

SpiritualWeekendwithSh.Dr.MohammadAliShomaliRegistrationForm

Firstname:____________________________________Lastname:________________________________Age:_____________(mustbe17yearsoroldertoattend)Phonenumber:________________________Email:____________________________________________Iplantoattendon:

o Saturday,April2ndo Sunday,April3rdo FullWeekend

Lunchandrefreshmentswillbeservedonbothdays.*Ifyouhavespecificdietrequirements,pleasecontactusdirectlyandwewillaccommodateyouaccordingly.*Sleepingaccommodations:IamcomingtoOttawafrom__________________________(city)andIrequiresleepingaccommodations.(Wewillcontactyoupersonally).*Thecostofthiseventif$15.00perday.PaymentmustbeprovidedbyMarch26th

atthelatest.*

Pleasee-mailthecompletedregistrationformtokari.fatima@hotmail.com.Formoreinformation,pleasecallFatimaKariat613.261.9081.

Signature:_____________________________________Date:__________________________________