If you wish to do I’tikaaf at JMAH Halifax this year please fill out the following application form. Spaces are limited so please make your application early. First Name*Last Name*Address*Postcode*Phone/Mobile*Email*Duration*Full 10 NightsOtherSeparator1Emergency ContactName*Contact Number*Separator2Terms and Conditions Minimum age for applicants is 18 No visitors allowed in the I’tikaaf area No group meetings or private study circles allowed Un-Islamic or abusive behaviour will not be tolerated A secure area will be provided for baggage and belongings You must adhere to a cleaning rota system stated by JMAH Management The masjid will not and cannot be held responsible for anything lost, stolen or damaged The masjid reserves the right to eject any individuals without notice if he is deemed to have broken any of the above rules Terms and Conditions*I agree to the above Terms and ConditionsSend Error occured. Please confirm your data and submit again: