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In consideration for being allowed to participate in the After School Quran Program ("Program), I release from liability and waive my right to sue Islamic Circle of North America (ICNA) and its affiliates Al-Falah Islamic School (AFIS), its employees, officers, volunteers and agents (collectively "AFIS") from any and all claims, including claims of AFIS's negligence, resulting in any physical injury, illness (including death) or economic loss I may suffer or which may result from my participation in this Program, travel to and from the Program, or any events incidental to this Program.

I acknowledge that there is a monthly fee for enrolling in this Program that will be automatically deducted or charged to my bank account.

I acknowledge I will provide a 30-day notice prior to removing my child from this Program.