Wheelchair Sign Up Form

Imam Hussein Charity is requesting you all to join in the blessings of taking Zawar's via wheelchair that are not able to walk to the Holy Haram of Imam Hussain (a.s) & Hazrat Abbas (a.s).  Please fill in the below form to confirm your attendance of volunteering:

Location Meeting Point: Imam Hussein Charity Building

https://maps.app.goo.gl/UQ7LCLmWrQygWHMH6?g_st=iw

Time to meet: 7pm - 11pm

Imam Hussein Charity contact number for emergencies:

Iraq Number: +964 77493 82915

Whatsapp Number: +44 7588 774506

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Email *
Full Name *
Country of residence (this is essential for emergency purposes)
*
Home Address (this is essential for emergency purposes) *
Phone number - please include country code (this is essential for emergency purposes)
*
Please confirm which date you will be volunteering below
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Age *
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