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REGISTRATION FOR ITIKAF

Read our Itikaf Guidelines before submitting an application.
PERSONAL INFORMATION
YOUR DETAILS

State your gender.

This field is required

Enter your first name.

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Enter your last name.

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Enter the child's Date Of Birth.

Over 18s only

Enter your phone number.

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Enter your email address.

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CHILD PERFORMING ITIKAF

What is your relationship to the child?

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Enter your first name.

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Enter your last name.

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Enter the child's Date Of Birth.

Over 16s only
ADDRESS

Enter the first line of your address.

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Enter the second line of your address.

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Enter your town or city.

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Enter your postcode.

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EMERGENCY CONTACT

State your gender.

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Enter your first name.

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Enter your last name.

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Enter your phone number.

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Enter your email address.

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ADDITIONAL INFORMATION

Confirm if you plan on staying the full 10 days.

If you plan to stay for less than 10 days, please provide more details (e.g., weekends only).

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You have read our Itikaf Guidelines

Read our Itikaf Guidelines

You agree to the terms of our Privacy Policy

Agree to our Privacy Policy

By clicking 'Submit' you confirm the information provided is accurate to the best of your knowledge.
APPLICATIONS ARE NOW CLOSED

No more spaces available.

Sutton Coldfield Muslim Association is a UK registered charity (no. 1020820).
Address

Anchorage Road
Sutton Coldfield
West Midlands
B74 2PL
United Kingdom
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