KMA Imam Support Request

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

To request an appointment with Imam Sikander, kindly fill out this form.

Your information will be kept confidential and will help in having your request processed efficiently.

Imam Sikander aims to respond to queries within 5 business days.

Please note: Due to high demand and limited availability, Imam Sikander will only be responding to requests from residents of Kanata & Stittsville.

Name (optional)

Email (double-check for accuracy) *

Phone *

How do you prefer to communicate? (select all that apply) *

Phone

Text

In-person

Required

Where do you live? *

What would you like to discuss? *

Pre-marital counseling

Marriage issue

Child/youth issue

Family issue

New Muslim support

Islamic question

Seeking advice

Other:

Required

What is the issue, in brief? (Bullet point format is acceptable) *

Please share any relevant facts and details. (Bullet point format is acceptable) *

Have you spoken to any other Imams about this issue? If yes, please share their name(s). *

Any other information you'd like to share?

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Kanata Muslim Association.

Does this form look suspicious? Report

Forms