Jamia Islamia Canada Prayer Registration
Email address *
First Name *
Last Name *
Phone Number *
Did you pass the health pre-screening at: https://covid-19.ontario.ca/self-assessment/? *
Are you an adult? (Please consider praying at home if you are a senior or have preexisting medical conditions that would make you part of a vulnerable population.) *
Required
I agree that I will bring my own prayer mat, make wudu at home, and wear a mask if required. *
Required
Do you consent to be added to our mailing list and receiving correspondence from us? *
A copy of your responses will be emailed to the address you provided.
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