Join The Muslim Lounge

1

Full Name* This field is required.Displayed on profile All our users have names displayed to avoid anonymity If you have any privacy concerns, please contact the admins after completion

First Name

Last Name

2

Phone Number* This field is required.Your phone number stays private

Area Code

Phone Number

3

Email* This field is required.Your email stays private

example@example.com

4

Gender* This field is required.We have gender-specific channels Displayed on profile

Male

Female

5

Discord UsernameHelp us match new user form submissions with their corresponding Discord usernames

6

Marital Status* This field is required.Displayed on profile

Single

Married

7

Looking for Marriage?* This field is required.Inform other users about your search

Yes

No

8

Polygamy?* This field is required.Inform other users about your search Displayed on profile. Contact admins for exceptions.

Yes

Maybe

No

9

Interested in our matchmaking service?We provide a matchmaking service which is a separate process from this. We will reach out to you in private if selected yes.

YesNo

11

Referred by* This field is required.Enter name or group that referred you to us

12

Tech ProgramWe provide a tech coaching program which is a separate process from this. We will reach out to you in private if selected yes.

YesNo

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14

CommentsLeave a comment for the admins. We will review and reach out to you if needed.