MAS Corona Center - Study Halaqa Interest Form
This form intends to gather interest information related to Study Halaqas at the MAS Corona Center
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Full Name *
Are you filling this for yourself or your children?  *
If you answered Children above, please include your name, phone number and email address. We will email you a consent form to fill out. 
Gender *
Phone Number *
Email Address *
Zip Code *
Age Ranges of those in your family who are interested? (check all that apply) *
Required
What are some of the goals you like to achieve from attending a Halaqa?
Tell more about any suggestions, or details you like to share.
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This form was created inside of Muslim American Society.

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