Rabi al-Awwal Week 1

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If you are above 12 years of age, you need to be vaccinated to attend. Please wear masks at all times and follow social distancing guidelines. If you cannot attend after signing up, please contact Wajahat Zaidi: 682-553-4150.

Please sign up for each individual in order to reserve your space.

Email *

Program for this week that you will be attending in-person?

Thursday Program starting with Maghreb

Friday Prayers - 1:18 PM

Saturday Program

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Phone Number

Gender

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Female

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Have you received at least one dose of COVID vaccine? *

First Dose Received

Second Dose Received

None Received

Less than 12 years of age

Please read the following carefully before submitting: Due to the outbreak of the coronavirus (COVID-19), IABA is doing everything it can to protect its members and volunteers. To this extent, IABA will be following the Centers for Disease Control guidelines, as well as the Texas Governor’s Executive Order, with regard to social distancing and hygiene practices. By completing this form and submitting, I agree and attest to the following: Symptoms of COVID-19 include: • Fever• Fatigue• Dry Cough• Difficulty Breathing *

I am not currently experiencing any of the symptoms listed above, I have not experienced any of the symptoms listed above for the past 14 days., I have not been exposed to anyone experiencing these symptoms in the past 14 days., I have not traveled to a highly-impacted area of the U.S. within the past 14 days., I agree to wear a mask (nose and mouth covering) during IABA Program, I agree to maintain 6-feet distancing as designated by IABA during the program.,

I have not come in contact with person(s) exposed to COVID within last 14 days.

Required

I further understand and agree that, despite taking all precautions, there is no guarantee of avoiding exposure, and no guarantee that I may not contract COVID-19 as a result of attending the in-person programs at IABA. By submitting this form and attending the program, I hereby waive and release all liability, and agree to hold IABA, its administration, its volunteers, and its members, harmless from any and all claims or causes of action for injury, damage, cost, or expense, on behalf of myself and my heirs and personal representatives, related to exposure or harm from the coronavirus (COVID-19). *

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