Hajj-U.S.A. Registration Form. Please register your legal name as it will appears on your passport.
Indicate whether you are Registering for Hajj or Umrah in the first box.
Umrah - November 2021
Date of Registration
Date of Birth
Country of Issue
Did you read the Hajj Terms and Conditions
Did you read the Cancellation Policy
I agree to the Terms and Conditions and cancellation policy
Please list all health issues here
Emergency contact names and number
I acknowledge that I have read this registration form completely and the information I provided is accurate. For the Hajj Program, I understand that any cancellation after my first payment is subjected to penalties. I read the refund policy for Hajj under the tab "must read" and agree if penalties have to be applied.
I understand that the Umrah Protocols are different than the Hajj Protocols. I will buy a private insurance to cover my Umrah Trip.
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