Tuesday- MAS ICNA & PIOUS HEARTS SINGLES SOCIAL EVENT

Age Group: 18 and older
Dates: Tuesday, December 27, 2022
Time: 3:00 to 6:00 pm
Location: McCormick Place (Room number will be given on your invite)
Ticket: $100

Your pictures are private. This is only for the Pious Hearts Team.

Headshot

Full Body

First Name:

Last Name:

Email:

Phone:

Age:

Birthday:

**Your ID will be checked at the event to confirm your age.

Gender:

Height Feet:

Height Inches:

Country:

Address Line 1:

Address Line 2:

City, State, Zip Code:

What is your ethnicity?

What is your race?

Profession:

Highest Degree:

Citizenship:

Marital Status:

Which describes your religious views?

Name 3 things you like to do in your free time?

About me - Write a few sentences to describe yourself:

Have you ever attended a Pious Hearts Event?

Yes No

Did any person or organization refer you to Pious Hearts Event?

How did you hear about us?

NOTICE OF FILMING AND PHOTOGRAPHY

By attending a Pious Hearts event, you are entering an area where photography, audio, and video recording may occur.

By agreeing to these terms, you consent to photography, audio recording, video recording, and its release, publication, exhibition, or reproduction to be used for promotional purposes, advertising, inclusion on websites, social media, or any other purpose by Pious Hearts and its representatives. You release Pious Hearts, its employees, and each and all persons involved from any liability connected with the taking, recording, digitizing, or publication and use of interviews, photographs, computer images, video and/or audio recordings, and you waive all rights to any claims for payment or royalties in connection with any use of these materials. You also waive any right to inspect or approve any photo, video, or audio recording taken by Pious Hearts or the person or entity designated to do so by Pious Hearts.

A person attending a Pious Hearts event who does not wish to have their image recorded for distribution should make their wishes known to the event organizers by contacting Pious Hearts at piousheartsevents@gmail.com in writing.

I agree to the notice of filming and photography

Payment

**Don't worry we will only charge you if you qualify to attend our event. All tickets are non-refundable

Our team will review all registered singles and choose only the most suitable singles to attend the event. Only when our team selects you to be a guest at our event, will your credit/debit card on file be charged. By registering for this event you give Pious Hearts consent to charge your card when you are selected, we will not notify you when we charge your card for the event. But you will receive an email confirmation that you were selected and charged. You will not be charged anything if you are not picked; don’t worry we will have plenty of other events that you may be invited to attend. This pre-event filtering process is a benefit for our guests so we can have more compatible singles who share the same interest as you and to have a good balance of men and women at our event to give everyone a fair chance to interact and InshaAllah find a match.

I agree to the notice of payment

Accepted:

Card Number:

Expires:

CVC: