Name *

First Name

Last Name

Mobile Number *

(###)

###

####

Gender *

Male

Female

Waiver 1 *

For certain individuals, the viewing of the deceased and participating in the washing and shrouding process can be traumatic and may leave a lasting emotional impact. You relieve the Al Falah Center and its representatives from any liability/claim/lawsuit that may arise from such emotional impact.

I accept this condition

I do not accept this condition (Al Falah Center reserves the right to decline your participation if you do not accept this condition)

Waiver 2 *

You understand the janazah preparation involves washing of the deceased. This can make the preparation room slippery. It is your responsibility to wear proper attire and non-slip footwear. In the unfortunate event that you may have a slip and fall incident, you release the Al Falah center and its representatives from any liability/claim/lawsuit that may arise from such an incident

I accept this condition

I do not accept this condition (Al Falah Center reserves the right to decline your participation if you do not accept this condition)

Waiver 3 *

Participation in the preparation process is voluntary and of your own free will. The Al Falah Center does not offer compensation for it.

I accept this condition

I do not accept this condition (Al Falah Center reserves the right to decline your participation if you do not accept this condition)