Shahada & Certificate Sign-Up

Please complete this form so our team can help coordinate your shahada, provide your certificate, and connect you with the resources and community available to you through Roots.

Questions marked * are required.

About You

First name*

Enter your first name.

Last name*

Enter your last name.

Preferred name

Are you male or female?*

Male Female

Choose one.

How We'll Reach You

Used only to follow up and share next steps. Kept private.

Email address*

Enter a valid email address.

Phone number

Your Shahada

Have you already taken your shahada?

No, I haven't taken my shahada yet Yes, I took my shahada by myself or with another community

When did you take your shahada?

Preferred shahada date We'll do our best, but the date isn't guaranteed.

Would you prefer your shahada to be public or private?*

PublicIn front of the community PrivateA smaller setting with limited attendees I already took my shahada

Choose one.

Which halaqa (lecture) or Roots program would you prefer?*

Tell us which program you'd prefer.

Your details are only shared with the Roots team.

Some required answers are missing. Check the highlighted fields.

JazakAllahu khayran

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