BIS Registration

Why We Collect Registration Information

At Birmingham Islamic Society (BIS), we are committed to better serving our community. By registering for Eid prayer, you help us:

Email(Required)

Phone(Required)

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Are you marrried?

Yes

Family Details

Spouse Name(Required)

First Last

Spouse Email(Required)

Spouse Phone(Required)

Children Under 5 Years

Children Under 5-10 Years

Children Under 10-13 Years

Children Under 13-18 Years

Adults 18 and up

Parents/Guardians (18 and older)

Total Family Members

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