Converts/Reverts Program Registration Form
This form is for registering converts/reverts into a city-wide program primarily focused around al-Nur Mosque Center (2815 S 4th St) & Guiding Light Islamic Center (6500 Six Mile Ln) but including the entire Louisville Muslim community.
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What is your full name? *
What is your phone number? *
Please Note: It is encouraged to download the Whatsapp mobile application on your iPhone or Android device. 
Whatsapp is a very popular app used in the Muslim community with groupchats for most mosques in Louisville.
What is a good email address that you check frequently? *
Which mosque/masjid did you take your shahadah? *
Which class do you attend or plan on attending for new Muslims? *
Have you received a Being Muslim boxed set after your shahadah? *
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What would help you feel more at home & comfortable in our local Muslim community?
Want to stay up-to-date on local events & programs in the Louisville Muslim community and on job, career, & beneficial news?
You can subscribe to the Louisville Lip email newsletter: https://hamzafoy.substack.com/
or
subscribe to a chat-disabled Whatsapp newsletter group: https://chat.whatsapp.com/IIAdp3Hi36sIq2XNDup5PL 
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