Register Interest

Your Name (required)

Your Email (required)

Your Phone Number

Would you describe yourself as Muslim, Christian, Jewish or of any other faith?
MuslimChristianJewishNo faithOtherPrefer not to say

If you selected other, please specify

If you selected Muslim, how long have you been a Muslim? (in years and months)

Please select the program(s)/activity you would be interested in attending: You may select more than one option.
 Buddy Program Foundation Course Monthly Social Mosque Visit

What day(s) would you be prefer to attend your selected program(s)/activity? You may select more than one option.
 Monday Tuesday Wednesday Thursday Friday Saturday Sunday

What time of day would you prefer to attend your selected program(s)/activity? You may select more than one option. (All sessions will generally be a lot shorter than the specified times. This is just so we can gauge the time of day people prefer to attend)
 9AM-12PM 12PM-3PM 3PM-6PM 6PM-9PM

Finally, although we have designed a course to cater specifically for New Muslims or people interested in learning about the Islamic tradition, we would like your thoughts on what you would be interested in learning. Please feel free to elaborate as much as you would like.

Where did you hear about us?

Any other comments?