Noor Mizan Registration Step 2

Mizan Course Registration: Step 2

Thank you for completing the initial registration for the Mizan Course! To ensure the course is tailored to your needs and provides the best possible experience, we ask you to complete this second form.

Name(Required)

First Last

Cell phone(Required)

Gender(Required)

Male

Female

Nationality(Required)

City of Residence(Required)

Accommodation Preferences(Required)

Accommodation Type:

Single Room (Private)

Shared Room (Double Occupancy)

Family Room (3 or more members)

No Accommodation Needed

If shared or family room, please specify the number of individuals:(Required)

Adults (13+ years):

Children (6-12 years):

Children under 6 years (no bed required):

 

Add Remove

Are all family members participating in the course?(Required)

Yes

No

If no, how many non-participants will be staying with you?(Required)

Adults

Children

 

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Do you require childcare services during the course?(Required)

Yes

No

If yes, please provide the number of children and their ages:(Required)

Number of children:

Ages

 

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Do you have any dietary restrictions or preferences?(Required)

Vegetarian

Vegan

Gluten-Free

Other

Do you require any special assistance or have any disabilities we should accommodate?

Yes

No

Please share details.

Will you be attending the optional Najaf and Karbala extension?(Required)

Yes

No

Declaration(Required)

I hereby confirm that all the information provided is accurate and agree to abide by the course terms and conditions.

Question or Comments

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