Taraweeh Program for Kids

MIA is offering a free program for kids during Taraweeh prayers. This program is designed to take care of children 3 - 8 years old while you are praying Taraweeh at Waverley Grand Mosque. To ensure the smooth running of the program, we kindly request that you register your child and sign the waiver link. This will help us to prepare and create a safe and comfortable environment for your child. Please note that the program will be held every evening during Taraweeh prayers Waverley Grand Mosque inshaaAllah.

How many children are you registering? *

Name of parent or guardian *

Phone *

Email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

In case of emergency (must list two people, do not list parents)

emergency 1

Name *

Relationship *

Phone *

emergency 2

Name 2 *

Relationship 2 *

Phone 2 *

Layout

Child’s Physician *

Phone *

Manitoba Health Card Number *

Does your child have any allergies or health condition that the program should be made aware of? *

Terms *

I consent to the below

I hereby release the MIA Educational Program from all claims for damages arising from any accident or injury which is caused by or arises from participation of the applicant(s) named herein, during any program or any facility where the program is held.
I understand that if my child shows any disrespect to the teacher, damage the Mosque’s property or does not cooperate with the teacher, the Administration has the right to dismiss my child.
I allow MIA Educational Program to use my child’s photos, videos and or other media for program related purposes. Examples include but not limited to MIA website, promotional displays, newsletter(s), and other.

Signature *

I have read and understood all the above points.