Dawah Leadership Summer Intensive

Dawah Leadership Summer Intensive Program Registration

Please complete the form below

Name

First Name

Last Name

Age

If under 18, then contact info of the parent (Name and Phone number)

Phone

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Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Tell us about your involvement with Islamic activism and community related work (If Any)

Tell us about your Islamic studies background (If Any)

What would you like to achieve from taking this course?