Event Registration Form
Assalamu alaikum! Muslims for Humanity (M4H) in collaboration with Baitul Mukaram Masjid has organized a youth event for the Greater Danbury area! Please fill out the following form to register or to volunteer.

Note about COVID19:
Baitul Mukarram/M4H has carefully put in place preventative measures that follow city and state guidelines to reduce the spread of COVID-19; however, Baitul Mukarram/M4H cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, it is possible that attending Baitul Mukarram/M4H events could increase your risk and your child(ren)’s the risk of contracting COVID-19.
Full Name *
Gender *
Age *
Name of Parent/Guardian
Phone *
Email *
Are you a participant or a volunteer? *
Date *
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By checking the box below, I recognize that there are inherent risks associated with the sporting activity and I assume full responsibility for personal injury to my self and (if applicable) to my family members, and further release and discharge Baitul Mukarram/Muslims for Humanity (M4H) from injury, loss or damage arising from my of my family's use of or presence upon the facility of the sporting activity, whether caused by the fault of myself, my family, Baitul Mukarram/MFH or other third parties. I also acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending this event and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the sporting event may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Baitul Mukarram/MFH employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at the event (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Baitul Mukarram/MFH, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Baitul Mukarram/MFH, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Baitul Mukarram/MFH program. *
Required
By checking the box below, I confirm that I am not presenting any of the following symptoms of COVID-19 listed here: Fever, Shortness of Breath, Loss of Sense of Taste or Smell, Dry Cough, Runny Nose, Sore Throat. *
Required
Please donate a registration fee of $6 per participant at https://tinyurl.com/m4h-bm-bball Light lunch included. *
Required
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