2018 COOOL Summer Program Registration
Parent/Guardian Name
*
First Name
Last Name
E-mail
*
Phone Number
*
Please Enter Participants' information
Participant 1
School/Masjid
Please select
Al Fatih Academy
Al Huda School
ADAMS
Avondale Islamic Center
Baitul Mokarram
Dar al Hijrah
Dar al Huda
Dar al Noor
Dar al Taqwa
DCA (Turkish Center)
Home School
ICCL
ICM
IMAAM Center
IRHSCA
ISA
ISB/Al-Rahmah School
Islamic Center of Frederickburg
Islamic Society of Germantown
ISWA
MCC
MLC
Manassas Mosque
Maryam Center
Masjid Al-Falah
Masjid Fatimah
Masjid Muhammad
Masjid ul-Haq
Mustafa Center
PGMA
Shirley Gate Mosque
Washington Islamic Academy
Other
Please Specify
Grade in School
6th
7th
8th
9th
10th
11th
12th
Registering for which program?
*
Research Internship Prep (Grade 10-12)
ACSL & Cybersecurity (Grade 7-10)
onewk
Fee1
Participant 2
School/Masjid
Please select
Al Fatih Academy
Al Huda School
ADAMS
Avondale Islamic Center
Baitul Mokarram
Dar al Hijrah
Dar al Huda
Dar al Noor
Dar al Taqwa
DCA (Turkish Center)
Home School
ICCL
ICM
IMAAM Center
IRHSCA
ISA
ISB/Al-Rahmah School
Islamic Center of Frederickburg
Islamic Society of Germantown
ISWA
MCC
MLC
Manassas Mosque
Maryam Center
Masjid Al-Falah
Masjid Fatimah
Masjid Muhammad
Masjid ul-Haq
Mustafa Center
PGMA
Shirley Gate Mosque
Washington Islamic Academy
Other
Please Specify
Grade in School
6th
7th
8th
9th
10th
11th
12th
Registering for which program?
*
Research Internship Prep (Grade 10-12)
ACSL & Cybersecurity (Grade 7-10)
Fee2
Participant 3
School/Masjid
Please select
Al Fatih Academy
Al Huda School
ADAMS
Avondale Islamic Center
Baitul Mokarram
Dar al Hijrah
Dar al Huda
Dar al Noor
Dar al Taqwa
DCA (Turkish Center)
Home School
ICCL
ICM
IMAAM Center
IRHSCA
ISA
ISB/Al-Rahmah School
Islamic Center of Frederickburg
Islamic Society of Germantown
ISWA
MCC
MLC
Manassas Mosque
Maryam Center
Masjid Al-Falah
Masjid Fatimah
Masjid Muhammad
Masjid ul-Haq
Mustafa Center
PGMA
Shirley Gate Mosque
Washington Islamic Academy
Other
Grade in School
6th
7th
8th
9th
10th
11th
12th
Please Specify
Registering for which program?
*
Research Internship Prep (Grade 10-12)
ACSL & Cybersecurity (Grade 7-10)
Fee3
Permission to photograph
I grant COOOL Summer organizers the permission to photograph and video record the participants during the program.
Do you need partial Tuition assistance?
No
Yes
Total Tuition
Registration Payment
USD
Total Tuition
Submit
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