PRINCETON ISLAMIC CENTER

Registration

Preview only. To submit, use the original form on PIC’s website.

Name

First

Last

You can register for age 4 and up!

Gender

Age

Father's Name

Mother's Name

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Please select sport below

Note: If you wish to enroll in multiple sports, kindly fill out a separate form. Basketball is open for free play!

One time enrollment fee (per sport)

Price: $20.00