YMC SE Registration Form 2025

Assalamualaikum,

Allah SWT reminds us in Surah Ar-Ra'ad Ayah 11: “Indeed, Allah will not change the condition of a people until they change what is in themselves.”

Join us December 19-21, as we become the change-makers of the Ummah at the YMC Southeast Convention at the Gas South Convention Center (6400 Sugarloaf Parkway, Duluth, Georgia 30097) InshaAllah!

If you are interested in attending, please fill out this registration form to officially be counted! Based on your registration, we're able to book hotels, rent transportation, buy merch, plan sessions, etc.! Please have this form filled out by 12/12 at the latest to ensure your spot in YMC!

Registration prices are listed below:

  • $25 - Registration ONLY (Includes Free Keychain)
  • $70 - Hotel ONLY (Registration covered through ICNA)
  • $80 - Registration + Hotel through YM

JazakAllah Khair! May Allah SWT reward us all for the effort we make to get closer to Him and each other.

Ameen

Personal Info

Name
Address
Do you have any allergies?

Emergency Info

Emergency Contact: Name
What is your emergency contact's relation to you?

Waivers

This Agreement is made between Young Muslims (YM), Islamic Center of North America (ICNA), Gas South Convention Center (Gas South), and the undersigned Participant (or Parent/Guardian if under 18). It applies to participation in the YMC Southeast event occurring December 19–21 in Atlanta, GA, including related travel, lodging, and on-site programming.

  1. Participation & Supervision

1.1 I understand that I am expected to remain within designated areas (the convention center and my assigned hotel) during scheduled programming and quiet hours.
1.2 If I need to leave the convention center or hotel, I will notify YM leadership in advance, and I understand that I do so at my own risk.
1.3 YM reserves the right to restrict or remove participation for safety, disciplinary, or health reasons.

  1. Travel, Transportation & Lodging

2.1 I am responsible for my transportation to and from the event. If I use YM-arranged buses or carpooling, I understand such transportation is voluntary and at my own risk.
2.2 YM may arrange hotels for participants. I will abide by all hotel rules and policies, and I understand YM, ICNA and Gas South are not responsible for personal property loss, theft, or damages in hotels or during unsupervised time.
2.3 Local attendees commuting from home are responsible for their own daily travel and punctuality.

  1. Food, Purchases & Allergies

3.1 I understand YM and ICNA are not providing food for this event; I am purchasing meals independently from third-party vendors or restaurants.
3.2 I am responsible for managing my own dietary needs and allergies, verifying ingredients, and making safe choices. YM cannot guarantee allergen-free options and is not liable for reactions or food-borne illness from third-party vendors.

  1. Safety & Conduct

4.1 I will follow all instructions from YM leadership, arena staff, hotel staff, and volunteers.
4.2 I will conduct myself respectfully and in a manner consistent with Islamic morals and YM values.
4.3 Reckless, inappropriate, or disruptive behavior, or leaving designated areas without notice, may result in removal from the event at my expense, without refund.

  1. Assumption of Risk

5.1 I acknowledge that large public events involve inherent risks, including but not limited to crowds, slips and falls, illness, allergic reactions, travel incidents, theft, and interactions with the public.
5.2 I voluntarily assume all risks, known and unknown, arising from my participation in YMC Southeast.

  1. Medical Authorization

6.1 I affirm I am physically fit to participate and have disclosed relevant allergies, conditions, or medications to YM.
6.2 In an emergency, I authorize YM, ICNA, and Gas South to provide or seek medical assistance and to contact my emergency contact as necessary.
6.3 I understand YM, ICNA, and Gas South are not financially responsible for costs of emergency medical care, prescriptions, or treatment.

  1. Waiver, Release & Indemnity

7.1 In consideration of being permitted to participate, I release, waive, and hold harmless YM, ICNA, Gas South and its officers, coordinators, directors, volunteers, affiliates from any and all liability, claims, demands, losses, or expenses arising out of or related to my participation.

  1. Acknowledgment

8.1 I have read and understand this Agreement and sign it freely and voluntarily.
8.2 I understand that by signing, I am waiving certain legal rights, including the right to sue.
8.3 If the participant is under 18, I affirm I am the parent/legal guardian with authority to sign on the participant’s behalf and consent to these terms.

  1. Disclaimer

For purposes of this Agreement, “I,” “me,” and “my” refer to the adult participant signing this Agreement, or, if the participant is under 18, to the parent/legal guardian signing on the minor participant’s behalf.

 

Liability Waiver: I hereby approve that if I am seen with, or have possession of, any vape, illegal drug, alcohol, or any other form of medically un-prescribed substance, whether in my belongings or luggage, that I will be immediately expelled from the current conference (WITHOUT REFUND), will need to arrange transportation myself in leaving, and I will no longer be invited to any future conferences. Furthermore, I hereby approve that I am subject to a search of my bag and personal belongings prior to and during the conference. I understand that, if caught with any illegal substance, I will be reported to local authorities.

Payment

Registration 📝
Hotel includes free breakfast.
Zip Up Hoodie 👕
Pricing only available before the conference.
For more details on this contact your NNC.
$0.00