Summer Camp Staff Trip | Alfajrul Bassem

AB Boys Summer Camp Staff Trip July 2026

To be completed by invitation only. Invitation includes all details. If you have difficulty with the payment, please reach out to the Istaz named in the message.

Participant's Information

Participant's First Name

Participant's Last Name

Participant's Birthdate required

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Medical and Health Information

Do you have any physical medical conditions that the administration needs to be aware of?

Please indicate whether you have any allergies (including insect bites, medication, food, animals, plants, dust, etc.):

Parents Information (in case)

Parent's Full Name

Parent's Email

Parent's Phone #

Emergency Contact (in case)

Emergency Contact Name

Emergency Contact Phone #

Emergency Contact Email

Relationship to you

Summer Camp - Staff Montreal Trip

Select an item (C$)

Staff Trip - C$250

Staff Trip - Cash Payment - C$1

Your Signature

Date Signed required

Participant's Information

Medical and Health Information

Parents Information (in case)

Emergency Contact (in case)

Summer Camp - Staff Montreal Trip

LOCATION

EMAIL

PHONE

SOCIAL

700 Kerr St, Oakville, ON L6K 3W5

info@alfajrulbassem.com

+1 (905) 514-9995