Itekaf Booking Form for Waverley Grand Mosque

Please complete the below form. You must be 18 yrs or older to stay overnight at the masjid unsupervised. Booking only available for Pioneer Mosque. We will be in touch with confirmation after submission.

Name *

First

Last

Email *

Phone *

Mailing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Emergency Contact Name *

First

Last

Emergency Contact Phone *

Choose Location *

Waverley Grand Mosque (2445 Waverley St.)
Pioneer Mosque (247 Hazelwood Ave.)

Important Note:

At Waverley Grand Mosque, MIA Education programs (full time preschool/ full time school and Hifz program) will be running as usual during Ramadan. Noise from children must be tolerated and is expected.

Start Date / Time *

Date

Time

End Date / Time *

Date

Time

Spaces to be used: Main prayer hall and/or kitchen ONLY.

Guidelines

1. Please do not wash/hang/dry clothes or shower in the washrooms.
2. Use of the Gym is not allowed for any sports activity after 12 midnight.
3. The youth and his guardian wil be responsible for paying the cost of any damage he/she causes to Masjid property.
4. Al overnight guests must clean the facility area used ni accordance with the Facility Checklist (available at the office).
5. MIA reserves the right to refuse an application. Please keep House of Alah organized al the time.
6. Please do not damage any of the Masjid's belongings.
7. MIA shall not be held liable for injury or any other accident to myself or loss of my belongings during my stay at the Masjid.
8. All the information provided is correct and to the best of my knowledge.

Signature *

Clear Signature

I agree to abide by the policies stated above.