Midwest - Summer Enrichment Program Participant Registration (CHI - DT)

AKYSB is hosting a Summer Enrichment Program! Get ready for an exciting event packed with creative challenges, building new skills, and team spirit!

Who: 1st-6th Grade Students

When:
Saturday June 6, 2026
Saturday June 13, 2026
Saturday June 20, 2026
Saturday June 27, 2026

Where: Chicago Downtown Jamatkhana Mezzanine

The cost is $15 and will cover the acitivities for the 4 weeks.

Venmo - @sharifa-salauddin
Zelle - 312-978-4679

Registration for this event is mandatory.

1General Information > 2Liability Release Form
Name Name First Last
Date Date / MM / DD YYYY
Date of Birth Date of Birth / MM / DD YYYY
Parent/Guardian Contact Name Parent/Guardian Contact Name First Last
Parent/Guardian Email Address
Parent/Guardian Phone Number Parent/Guardian Phone Number - ### - ### ####
Emergency Contact Name Emergency Contact Name First Last
Emergency Contact Relationship
Emergency Contact Phone Number Emergency Contact Phone Number - ### - ### ####
What is the primary language of your child? Will they need
a translator?
Attended?

Attended? Yes