MEMBERSHIP

Hussainya Center of Las Vegas Membership Form

First Name

Last Name

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Phone

Spouse Name (If applicable)

Date of Submission

Children Names (If applicable)

Would you like to volunteer at Hussainya Center of Las Vegas? Yes / No (If yes, please explain in few words)

Monthly membership dues & donations can be made via Zelle to 702-695-8122 "Hussainya Center of Las Vegas"

I hereby, agree to support the program and services at Hussainya Center of Las Vegas, and agree abide by its rules, regulations, by-laws, and constitution. I understand that the constitution rules, by-laws, and regulations may be amended and revised from time to time. All of my family members and I listed on this application do hereby agree to indemnify and hold harmless Hussainya Center of Las Vegas, executive committee members against any claims, liability, loss, damage or expense of any nature whatsoever. Membership may be revoked if a member has disregarded the provisions of Hussainya Center of Las Vegas, constitution, by-laws, and Islamic values. I also understand that Hussainya Center of Las Vegas reserves the right to refuse or reject this application.

Privacy Policy: Information you submit on the membership application will only be used for Hussainya Center of Las Vegas internally. Hussainya Center of Las Vegas will not release personal information to any other parties unless we receive explicit written authorization from the member to do so, except to respond to judicial process, to comply with state, federal or local laws, to take precautions against liability, or, to the extent required by law, to provide information to law enforcement agencies.

I am a Muslim who practices Fiqh-e-Ja’fari, age 18 years or older and hereby apply for the membership at Hussainya Center of Las Vegas.

I agree to the terms & conditions

Thank you for your submission

By becoming a member, you are not only joining a community founded on its unwavering commitment to serving the mission of Ahl al-Bayt (as), but you are also contributing to the growth and impact of Hussainya's programs and services for the wider community.

Your membership strengthens our collective bond and empowers us to make a meaningful difference together. We deeply appreciate your support and wholeheartedly believe that through your involvement, we can serve the noble cause with utmost devotion and compassion.

To become a member, please complete all questions below and submit your application.