Accessibility Interest Form

Accessibility Interest Form
From Quran classes to social events to workshops, ISNA prioritizes accessibility in all our programs. We aim for the centre to be a welcoming space for individuals with disabilities, where they can engage with peers, enjoy activities, and learn.

If you or your child are interested in participating, please fill out the Interest Form below.
Name*

First NameLast Name
Gender*
Age*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What Program or Service are you interested in?*

Evening ClassesCampsCounsellingOther
Comments
Please note that completion of this form does not guarantee registration within a program.*

I understand
Should be Empty: