I, apply for Peoria Muslim Club membership for my children between the age of 6 & 13 and agree to comply with the bylaws and policies of Peoria Muslim Club and Islamic Center of Peoria. 

I, also, agree on behalf of the names above to release and hold harmless Peoria Muslim Club, Islamic Center of Peoria, their officers, directors, employees, and agents, and each of them, from any claims, demands, or actions we may have against them because of this application