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MCC I'tikaf Registration Form
Please fill out the following form to register for I’tikaf at MCC during the last 10 days of Ramadan.
Register Now
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Name
*
First
Last
Phone
*
Email
*
Have you observed i’tikaf before?
*
Yes
No
Please select one:
*
Night and Day I’tikaf
Night Only
Day Only
Have you experienced any of the symptoms related to Covid-19 in the past 48 hours?
*
Yes
No
Have you been in close physical contact in the last 14 days with: Anyone who is known to have laboratory-confirmed COVID-19? OR Anyone who has any symptoms consistent with COVID-19?
*
Yes
No
Are you currently waiting on the results of a COVID-19 test?
*
Yes
No
Submit
