Name *

First Name

Last Name

Are you (or someone in your family that you care for) a Muslim with a disability living in the Westbank that would benefit from an accessible Eid Prayer? *

Yes

No

Which options do you think would be most beneficial for your needs?: *

A second Eid Prayer (later in the morning)

A separate room during the first Eid Prayer

Dimmed Lighting (for vision sensitivities)

Reduced Sounds/Headphones

Wheelchair/Stroller Friendly

Reserved/Front-Row Seating