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COVID-19 Waiver

The one time waiver must be signed by all attendees considering to visit the facility for prayers. 


The waiver can be submitted using below options

1.  Print, complete, and email to In the subject line, type “One Time Waiver.”

2.  Print, complete, and bring it with you when you come for Salat. 

3.  Fill & submit on site. 


1. Please fill both pages.

2. Please ensure to provide initials where needed.

3. In the box marked Full Name & Signature, please ensure to capture the complete name followed by signature. 

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