Vaccine Registrations – Invitation – Hamilton Mosque | Umar Mosque

Invitation Code*
Location*
Please select the location you would like to register for.
ISH Location Availability
Time Availability
1:00 PM - July 5 5
1:05 PM - July 5 5
Reservation Selection - ISH*
Please select the time slot you wish to register ISH.
Name*
First Last
Gender*
Email*
Enter Email Confirm Email

Registration confirmation will be sent here as well.
Cell Phone*
Please use a cellphone - QR code and confirmation codes will be sent here as well.
Date of Birth*
Date Format: MM slash DD slash YYYY
Postal Code*
Consent*
I agree with the following:
All registrants will wear a mask, stay 2ft apart, and bring their own prayer mat. Failure to follow guidelines will result in removal from the premises. Registrants also confirm that they have not travelled outside of Canada in last 14 days, and do not have any symptoms related to COVID-19 nor have they come under contact by any one recently who has COVID-19 or they themselves have been asked to quarantine.
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

Vaccine Registrations – Invitation