New Muslimah Halaqa Registration
Join Mailing List
Donate
Join WhatsApp Group
Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
Email
*
example@example.com
Age
*
18-24
25-34
35-44
45+
Which WhatsApp Group would you like to be added to?
*
Halaqa Group
Sisters Support Group
Both
Where are you located?
How long have you been a Muslimah?
Tell us a little about yourself :-)
How did you hear about us?
Photo Release Authorization
*
I grant permission for photos or videos taken of me or my child(ren) during MAS Bay Area events / classes / camps / activities to be used on the MAS Bay Area website, in brochures, on social media, and in newsletters for promotional, educational, or informational purposes.
I do not give permission to be photographed, and if I am, I request that my photo not be published.
Liability Waiver
*
By submitting this form, I release and agree to indemnify and hold harmless MAS Bay Area and its officers, employees, agents, and volunteers from any liability, claims, damages, or costs arising from my and/or my child’s participation in MAS Bay Area events, classes, camps, and activities, whether conducted at MAS Bay Area Office or any other sites where such events may take place.
Submit
Should be Empty: