On-line Registration

Muslim Scouts Of Michigan Registration Form

First Name:
الإسم الأول

Middle Name:
إسم الأب

Last Name:
الإسم العا ْئلة

Date Of Birth:
تاريخ الميلاد
(mm/dd/yyyy)

Age:
العمر

Grade:
مرحلة الدراسية

School:
المدرسة

Phone Number:
رقم الهاتف

Home Address:
عنوان البيت

E-mail:
البريد الإلكتروني

Language:         English / الإنجليزية                   Arabic / العربية
اللغة

Please, Choose the Method of buying the Scout Uniform:
        I would like the get a map and instructions to buy the Scout Uniform by myself.
         I would like the Scout Committee to buy my scout Scout Uniform for me with an additional cost of $10.00.

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