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Islamic Center of Long Island

835 Brush Hollow Road, Westbury, New York 11590, USA

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EXPIRED

Girls Soccer Program Spring 2025 (Ages 10-13)

21
APR

6:00 PM

23
JUN

7:00 PM

Program Fee:

One Time: $115.00

Offering Days: Monday

Reserved Seats: 12/15

1 Contact Information

First Name *

Last Name *

Phone Number *

Email Address *

2 Add Registrants

Primary Contact as First Registrant

Registrant Name*

Email Address

Age

Gender

Choose Program

Participant's Full Name*

Emergency Contact Name*

Emergency Contact Number

+ Add More Registrants

3 Payment

Payment Method

Credit/Debit Card

Name on Credit Card *

Credit Card Number*

Expiry Date*

CVV Code*

Monthly Recurring

Promotion Code

Since you purchased free Ticket No Payment Required.

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