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Age (years) *

Children (under 12 yrs) and individuals above 70 yrs are currently requested to pray at home.

Which jamat will you attend? *

Add another person? *

Additional Person1 Full Name

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Additional Person2 Full Name

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Additional Person3 Full Name

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Disclosure *

I agree that, in the last 14 days I have not experienced or done any of the following:

* Fever, coughing, difficulty breathing, sore throat, runny nose, and shortness of breath.
* I, nor anyone in my household, has traveled outside Ontario in the past 14 days.
* I have not been investigated, nor tested positive, nor have been in contact with anyone who has been tested positive for COVID-19 in the past 14 days.

Consent *

I agree to maintain the following BJIC COVID-19 guidelines:

* Maintain social distancing of at least 2 metres
* Wear a mask at all times
* Bring my own prayer mats
* Come prepared with wudhu to the masjid
* The masjid may not open washroom and wudhu facilities
* I will also bring a bag for my shoes and place them in the bag during my visit to the masjid
* I will pray all additional Sunnah, Nafl, and optional prayers at home
* I will also follow the directives as given by BJIC management, staff, and volunteers to ensure the safety of myself and others
* I agree to cooperate with all volunteers, and staff members present. I may be asked to present a valid ID to verify this registration.
* I will also not hold BJIC (including its management, staff, and volunteers) responsible for any reason due to my attendance at the masjid, and am coming entirely at my own risk.