Event Registration Form I am interested in registering for:(Required)Community Eid Picnic 2023 (09 Jul 2023)Money Management Training- Bangla (06 Jun 2023 to 29 Jun 2023)An evening with seniors (21 Jun 2023)Information for Participants: First Name(Required) Last Name(Required) Gender(Required)MaleFemalePhone(Required) Email(Required) Date of Birth(Required) DD slash MM slash YYYY Primary LanguageEnglishFrenchAmharicArabicBengaliChineseDariFarsi (Persian)FilipinoHindiKinyarwandaPashtoPunjabiSpanishSwahiliTagalogTigrignaUkrainianYiddishYorubaCountry of BirthCanadaAfghanistanAlbaniaAlderneyAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBophuthatswanaBosnia and HerzegovinaBotswanaBrazilBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanary IslandsCayman IslandsCentral African RepublicChadChileChina (PRC)ColombiaComorosCongo (Congo Republic)Congo Democratic Republic ofCosta RicaCote d Ivoire (Ivory Coast)CroatiaCubaCyprusCzechia (Czech Republic)DenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor-Leste)EcuadorEgyptEl SalvadorEnglandEquatorial GuineaEritreaEstoniaEswatini (formerly Swaziland)EthiopiaFijiFinlandFr. PolynesiaFranceFrench GuianaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuadaloupeGuamGuatemalaGuineaGuinea-bissauGuyanaHaitiHoly See (Vatican City)HondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKampuchea DemocraticKazakhstanKenyaKerguelen IslandsKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (formerly Burma)NamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorthern IrelandNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaScotlandSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSt. HelenaSt. Kitts and NevisSt. LuciaSt. Pierre Et MiquelonSt. Vincent And The GrenadinesStatelessSudanSudan, SouthSurinameSwedenSwitzerlandSyriaTaiwan (ROC)TajikistanTanzaniaThailandTibetTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & CaicosTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamWalesWestern SaharaYemenYugoslaviaZaire (now Congo DRC)ZambiaZimbabweCurrent Immigration Status in CanadaPermanent ResidentCitizen by BirthCitizen - NaturalizedGovernment Assisted Refugees (GAR)Provincial Nominee Awaiting PRRefugee Claimant (RC)Student - Study PermitUkraine CUAET PermitVisitor Visa - Temporary Resident VisaWork Permit - Live-in CaregiverWork Permit - International Mobility ProgramWork Permit - Post-Graduation Work PermitUCI# / PR Card Number (8 or 10 digits) Special Requirements/Considerations Allergies Carries Epi-pen Physical Disability Please specify any allergies or dietary restrictions you may haveMedical Conditions/MedicationsOther RemarksInvite Link Consent(Required) I understand that invitation links for online events, when applicable, will be sent to me later via the provided email address. (Required) Newsletter Subscription I would like to subscribe to receive emails and newsletters regarding updates on this event, as well as future programs and events. Photo Consent I authorize the staff to take photographs of me during this event and to display and otherwise use these photographs without charge, solely for the purpose of promoting and reporting on this event. HiddenFee Information Source (Admin Only)(Required)Admission fee: Adult $10 Kids age 6 and above $10 Kids under age of 5 are free. Food: Biryani, Cake, Cold drinks and Tea. Pizza for kids Payment can be made at the office by cash or credit card. etransfers can be made at info@healthymuslimfamilies.ca, in the message/note section mention "eid picnic 2023".HMF, is offering Money Mangement Workshop in "Bangla" language. This workshop is total of 8 sessions (2 sessions each week, Tuesdays and Thursdays). Starting from Tuesday, June 6, 2023 ending on Thursday, June 29. These sessions would be delievered online via Zoom and each session would be an hour long. Project Coordinator will contact the registrants via email a week before the program begins.This is a potluck. Daughters and daughters in law will be welcomed with their mothers and mothers in law. For more information contact Sumera Aurangzeb at 204 202 6491ext.2 or email at sumera.aurangzeb@healthymuslimfamilies.caHiddenRemarks Placeholder (Admin Only)(Required)Please tell us here how many adults, kids of age 6+ and under the age of 5 will be attending.This will help us to make the arrangements accordingly. Please tell us about your time preference; 11am, 12;30pm or 6;00 pm over Zoom?Please tell us here which dish you would like to bring and share.HiddenStaff to be Notified (Admin Only)(Required)sumera.aurangeb@healthymuslimfamilies.ca sara.arnous@healthymuslimfamilies.ca,afsana.kishwar@healthymuslimfamilies.csumera.aurangzeb@healthymuslimfamilies.ca HiddenEvent-to-Program Mappings (Admin Only)(Required)000200080006HiddenProgram (Admin Only)(Required) HiddenStaff Email (Admin Only) HiddenDate Visited (Admin Only) DD slash MM slash YYYY HiddenRemarks (Admin Only)Allergies/Dietary Restrictions - None specified Medications/Medical Conditions - None specified Other Remarks - None specified
