Ramadan_taraweeh_get together form – Ar-Rayyan Quran Academy

Online Submission

Please enter all required information, sign and SUBMIT

RAMADAN/TARAWEEH/IFTAR/DINNER/GET-TOGETHER- Permission & Liability Waiver Form
Dear Parent or Guardian,

Your child is going on a RAMADAN/TARAWEEH/IFTAR/DINNER/GET-TOGETHER with parents & Ar-Rayyan family! Please read the information, then sign and SUBMIT.

RAMADAN/TARAWEEH/IFTAR/DINNER/GET-TOGETHER Information:
Event Date:*
MM slash DD slash YYYY
Event Location:*
Event Time:*

: Hours

Minutes

AM/PM
Purpose:*
- RAMADAN
- TARAWEEH
- IFTAR
- DINNER
- GET-TOGETHER
Permission & Liability Waiver Form
Cost:*
Cash or check payable to: AR-RAYYAN QURAN ACADEMY
SPECIAL INSTRUCTIONS: Please be on time. Parents are solely responsible for their own safety, their family safety and the safety of their child/children at all times. Please be aware that Ar-Rayyan Institute/ Ar-Rayyan Quran Academy or its officials, administrators, directors, agents, teachers, other parents, volunteers and employees will not be responsible for your child/you/your family. So, please ensure that your child is completely under your supervision to make this event enjoyable.
Participant Name:*

has permission to attend the event.
*
I acknowledge that I will not seek to have the Ar-Rayyan Institute held liable in the event that any accident, injury, sickness, loss of property or any other circumstance or incident occurs during or as a result of my son’s/daughter’s/my participation in the RAMADAN/TARAWEEH/IFTAR/DINNER/GET-TOGETHER or any ArRayyan Institute events. This release of liability includes accident, injury, sickness, loss of property or any other circumstance or incident, damages etc to the student, parent/s and their entire family as well as, to other individuals or property which may result from the student’s participation in the event. I hereby release and agree to hold harmless the Ar-Rayyan Institute/Ar-Rayyan Quran Academy, its officials, administrators, directors, agents, teachers, other parents, volunteers and employees, from any claims arising out of my son’s/daughter’s/my participation/my entire family’s participation in the ArRayyan Institute event(s). I take the FULL responsibility of myself, my child/children, my complete family and my belongings. I will also ensure that my child/children is/are under my supervision all the time.
Number of adults*
Number of Children*
Enclosed, please find cash/check in the amount of*
to cover the cost of the trip.
I give my permission for*

to receive emergency medical treatment. In an emergency, please contact
Name of Child/Children/Parents attending event*
Name of Parent/Guardian*
Parent 1 phone*
Parent 2 phone*
Email*
Address*
Address City State Zip
Consent*
I agree to above content.
Signature of Parent/Guardian*
Date*
MM slash DD slash YYYY

Online Submission

Please enter all required information, sign and SUBMIT

RAMADAN/TARAWEEH/IFTAR/DINNER/GET-TOGETHER- Permission & Liability Waiver Form

For Kids and Adults

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