Peace Centre Community Contact Information Form
Assalaamu alaykum warahmatullahi wabarakaatuh.This form should be completed in full to enable admission. The Peace Centre will keep secure and utilise this information in accordance with GDPR laws. This information will only be shared if and when required to do so by law, as well as to assist us in notifying you in the event someone else who attended The Peace Centre tested positive with Coronavirus and to support NHS track and trace. We will update our database and keep you up to date latest information from The Peace Centre. We will not share your information with anyone for marketing purposes or sell to any third party. JazakAllahu khayra for your time. Please note: No under 13's or over 65's are allowed. It is highly recommended for them to perform their salaah at home for the time being
First Name *
Surname *
Date of birth *
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FULL ADDRESS *
Postcode *
Phone number *
Email *
Emergency contact name & relation *
Emergency contact phone number *
By submitting this form I agree & confirm to receive updates & information from The Peace Centre via text, email or any other form of communication. Also *
Required
Date of Submission *
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