Five Daily Prayers Registration Form
YOU ONLY HAVE TO REGISTER ONCE.
This form is to ensure your ability to safely pray at the masjid. If at any point someone in the community becomes ill we will be able to assess if anyone else may have been exposed while at the masjid and notify them so that they can self-isolate. This will allow us to keep the masjid open and running even if cases of COVID-19 do appear in the community.
What's your first name AND last name?
What's your phone number?
What's your address?
By checking the below box, you confirm that you read, understood, and will follow ICM regulations of entering the Masjid in regard to COVID-19. Note that we will ban anyone who does not follow these regulations. (Visit
to read the regulations in ARABIC OR ENGLISH).
Yes, I confirm
A copy of your responses will be emailed to the address you provided.
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