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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
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Your answer
Are you filling this for yourself or your children?
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Self
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.
Your answer
Gender
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Male
Female
Phone Number
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Your answer
Email Address
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Your answer
Zip Code
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Your answer
Age Ranges of those in your family who are interested? (check all that apply)
*
6-9
10-13
14-17
18-23
24-35
36-49
50-62
63+
Required
What are some of the goals you like to achieve from attending a Halaqa?
Study Quran, Hadith, Seerah, Fiqh, Tazkiya, and other Islamic Topics
Learn about Islamic History, Islamic World, Contemporant Issues, ...
Leadership, Personal Skills, Manners and Moral Characters
Strengthen the bond of Brotherhood, Sisterhood
Engage in Activism and cooperate with others on Da'wa projects
Other:
Tell more about any suggestions, or details you like to share.
Your answer
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