2025 ISAK Summer Program Registration

Current Contact Information
Payment
Complete

Assalamu Alaikum,

Thank you for your interest in the 2025 ISAK Summer Program. Below you will find details related to the camp including expectations, activities, and registration instructions.

Please be sure to complete all instructions and email camps@isak.org if you have any questions!

Parent / Guardian

First Name

Last Name

Street Address

City

Zip Code

State

Phone Number

Number of children in household

Week(s)

Sunday 6/8 and Monday 6/9 - Living the Seerah: Walking in the Prophet’s Footsteps

Saturday 6/14 and Sunday 6/15 - Dean & Team: Islam through Play and Spirts

Saturday 6/21 and Sunday 6/22 - Guardians of the Earth: Islam and the Environment

Saturday 6/28 and Sunday 6/29 - Courages Hearts: Racing to Jannah

Contribution Amount

Child 1

First Name

Last Name

Birth Date

Gender

Female

Male

Critical Information (allergies, injuries, etc)

Primary Emergency Contact

Primary Contact Name

Primary Contact Email

Primary Contact Phone

Primary Contact Relation

Secondary Emergency Contact

Secondary Contact Name

Secondary Contact Email

Secondary Contact Phone

Secondary Contact Relation

Child 2

First Name

Last Name

Birth Date

Gender

Female

Male

Critical Information

Primary Emergency Contact

Primary Contact Name

Primary Contact Email

Primary Contact Phone

Primary Contact Relation

Secondary Emergency Contact

Secondary Contact Name

Secondary Contact Email

Secondary Contact Phone

Secondary Contact Relation

Child 3

First Name

Last Name

Birth Date

Gender

Female

Male

Critical Information

Primary Emergency Contact

Primary Contact Name

Primary Contact Email

Primary Contact Phone

Primary Contact Relation

Secondary Emergency Contact

Secondary Contact Name

Secondary Contact Email

Secondary Contact Phone

Secondary Contact Relation

Child 4

First Name

Last Name

Birth Date

Gender

Female

Male

Critical Information

Primary Emergency Contact

Primary Contact Name

Primary Contact Email

Primary Contact Phone

Primary Contact Relation

Secondary Emergency Contact

Secondary Contact Name

Secondary Contact Email

Secondary Contact Phone

Secondary Contact Relation

Waiver of Liability

I verify that my child is covered by medical insurance. I understand that I have been highly recommended to be approved by a medical doctor for physical activities prior to participating in the ISAK youth events and activities. I hereby, for myself, and/or for my child, our heirs, executors, administrators and personal representatives waive and release the Islamic Society of Akron and Kent, its agents, directors, volunteers, and employees of any liability for injury or damage during ISAK youth events and activities.

By signing this document, I acknowledge that athletics or similar activities are an inherently dangerous activity in which serious injury and/or death may be a possible outcome of participation or attendance. I hereby assume, and/or assume on behalf of my child, all risk of injury or loss to which I and/or my child may be exposed. I grant permission for myself (and/or my child) to receive emergency medical care if needed. I acknowledge that I have read and fully understand this release of liability waiver form and sign it willingly.

I understand and agree to the Waiver of Liability

Signature

Sign above