Please use this registration form to register for the girls youth majlis on Saturday, September 26 at 4:00 pm.Majlis will be recited by sister Zaineb Hussain.

- Restricted to ages 15 to 25.
- Each attendee must be registered individually

PLEASE READ THE FOLLOWING DISCLAIMER
By submitting this form, I confirm that the information provided is correct and I do not have any medical condition or sickness that would make me vulnerable towards being infected, or spreading any infection. By registering to attend programs at IEC Husaini I acknowledge and accept the risk of possible exposure to the coronavirus (COVID-19) from being in potential contact with other attendees, employees, volunteers, as well as non-human (physical objects and surfaces) contacts at the facility, including the risk of person-to-person or surface-to-person transmission of the virus to myself or others who come in contact with me. I understand that while IEC Husaini is taking reasonable precautions to minimize the risk of such exposure to attendees, such precautionary measures are not perfect and any activity involving multiple individuals during this pandemic presents a risk of infection. If I do attend, I hereby release, waive, and discharge IEC Husaini, its management,
employees, and volunteers from any and all liability, claims, demands, actions, and causes of action of any kind arising out of or related to any actual or suspected exposure to COVID-19, or my participation in programs and services. I understand that my participation in this activity is voluntary, and I assume full responsibility for any risks of loss, property damage, or personal injury (God forbid) that may be sustained by me as a result of my attendance.

If you would like to recite Salam or Noha, please contact:
- Zahra Bhojani: (630)506-3871
- Fazila Hussain: (847)312-1519
- Syeda Khan: (224)415-5903