Itikaf - Islamic Center of Peoria

Itikaf Registration Form

Enrollment for Itikaf

Full Name

Age Group

Itikaf Duration

Phone Number

Name of Parent/Guardian

Parent/Guardian Contact Number

Terms and Conditions

ICP Consent/Waiver Form: I agree that with my participation in this event I assume any risk associated with participation and release the Islamic Center of Peoria from any and all claims of loss or damage that may arise during m participation. Such releases are without limitation, and include attorneys' fees, personal injury, property damage, and any other losses or damages suffered by myself.

Itikaf Registration Form

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