spiritual weekend with sheikh shomali registration form

In the Name of God, the Merciful, the Beneficient Ahlul-Bayt Scouts Ottawa Spiritual Weekend with Sh. Dr. Mohammad Ali Shomali Registration Form First name: ____________________________________ Last name: ________________________________ Age: _____________ (must be 17 years or older to attend) Phone number: ________________________ Email: ____________________________________________ I plan to attend on: o Saturday, April 2nd o Sunday, April 3rd o Full Weekend Lunch and refreshments will be served on both days. * If you have specific diet requirements, please contact us directly and we will accommodate you accordingly. * Sleeping accommodations: I am coming to Ottawa from __________________________ (city) and I require sleeping accommodations. (We will contact you personally). * The cost of this event if $15.00 per day. Payment must be provided by March 26th at the latest. * Please e-mail the completed registration form to [email protected]. For more information, please call Fatima Kari at 613.261.9081. Signature: _____________________________________ Date: __________________________________

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Ahlul-Bayt Scouts Ottawa presents a Spiritual Weekend with Dr. Sh. Mohammad Ali Shomali. Please complete the attached registration form and make payment accommodations with Fatima Kari at 613.261.9081.Looking forward to seeing you all there!

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Page 1: 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:__________________________________

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