NIKKAH INTAKE FORM - Smartsheet.com

DATE OF NIKAH*

TIME OF NIKAH*
The Imam will only be available for ONE hour. Please choose the time you wish for the Imam's portion of the ceremony to begin.

ADDRESS OF NIKAH*
(Street #/Name, City, State, Zip, Suite/Apt./Unit #)

BRIDE'S NAME*

BRIDE'S NUMBER*

BRIDE'S EMAIL*

GROOM'S NAME*

GROOM'S NUMBER*

GROOM'S EMAIL*

WEDDING DAY CONTACT (Not Bride or Groom)*

WEDDING DAY CONTACT NUMBER*

1st Pre-Marital Counseling Session - Option 1*
The Imams Office strongly recommends every couple to have 3 pre-marital counseling sessions prior to the Nikah. However, one session is mandatory. Please give us two options for your first session. Follow up counseling sessions will be discussed at your first session. Please note, we will do our best to accommodate your schedule, but this does not guarantee a meeting at the selected time. The Imam's office will contact you to set the appointment. After submitting this form kindly allow up to two weeks for scheduling confirmation.

1st Option TIME*

1st Pre-Marital Counseling Session - Option 2*

2nd Option TIME*

SERVICE FEE*

I AGREE to the following marriage procedures:*
Procedures for getting married at ADAMS: *
1) I will obtain a marriage license from the local county couthouse and submit it no later than seven days before the date of the Islamic marriage.

2) I will complete the Marriage Profile and Application Form, along with the Premarital Contract and submit these two forms no later than seven days before the date of the marriage. (Both forms can be downloaded from www.adamscenter.org, in the Matrimonial section.)

3) I understand that my fiance and I will need to complete a mandatory premarital counseling session before the nikkah ceremony. (My finance and I will read and review the Premarital Questionare that is also available on the ADAMS website prior to the counseling session)

4) My fiance and I will provide two witnesses for the Islamic ceremony. *** I understand that ADAMS will not procede with the Nikkah until all paper work has been submitted, premarital counseling has been completed, and all logistical matters have been completed. I have read and understand the procedures for marriage through the All Dulles Area Muslim Society. By selecting the box below, I agree to complete the procedures as stated above.

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