Itikaaf CLOSED

Ramadan I'tikaaf Registration Form

Limited to Brothers only 18 years and older.
Limited slots available on a first come first served basis.
Preference will be given to Sunnah i'tikaaf for the full 10 days.
Must make own arrangements for suhoor, Iftaar, bedding and personal items.

* Indicates required field

Do you plan to stay in Sunnah i'tikaaf for the full 10 days? *

Yes No

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Primary Phone Number *

Emergency Contact Name *

Emergency Contact Phone Number *

Do you have any medical conditions? Please list *

Primary Doctor Name *

Primary Doctor Phone Number *

Are you 18 years of age or older? *

Yes No

Upload Driver's License or a State Issued Identification Card *

Max file size: 20MB

Sign-up

Mailing Address:
P.O. Box: 7497
Hillsborough NJ 08844-7497

Address:
26 New Amwell Road
Hillsborough NJ 08844-5017

Location

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Muslim Center of Somerset County is a 501(c)(3), not for profit, tax exempt organization, Federal Tax ID # 22-3183126