Facility Reservation/Food Accommodations Form

Name*
First Last
Email*
Enter Email Confirm Email
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Event Details
All reservations are maximum 4 hours, any extra time will be charged
Proposed Date of Reservation*
MM slash DD slash YYYY
Proposed Start Time of Reservation*
All reservations will be 4 hours (Masjid is closed by 10 PM)
: Hours
Minutes
Choose Event Type*
- Wedding/Engagement
- Dinner
- Educational: Training, Workshop, Etc
- Condolences
All condolences reservation will be 50% off original facility reservation prices (not including food)
Brief Description of Event*

Disclaimer
Regulations for Reserving the Facilities:
1. For any reservations, applications must be submitted at least two weeks in advance.
2. The party reserving the facility is absolutely responsible for clean up.
3. Deposit of $250.00 must be paid at the time of reservation. “The refund will be remitted upon inspection of the premises.”
4. The party who reserves the facilities must agree to uphold the Islamic Jurisprudence (i.e. this means no illegal activities, no card playing, no smoking, or drinking alcohol, no mix gathering of men and women, no belly dancing).
5. There will be an additional $20.00/hr. after the first four hours.
6. Responbility lies on applicant/organizer for any special setup.
*
I hereby certify that I will abide with the above rules and regulations and fully cooperate with Dar Al Hijrah Administration.

Event Details