Umrah Form – The Prayer Center of Orland Park

Registration Form

First Name

Middle Name (IF APPLICABLE)

Last Name

Date of Birth

Phone Number

Address

Martial Status:

Profession

Emergency Contact First Name

Emergency Contact Last Name

Relationship to Emergency Contact

Emergency Contact Phone Number

Passport No:

Nationality

Passport Issue Date

Two Uploads are Required:

1. Please upload a photo image of your face for Umrah Visa application. Ensure your 2x2 inch photo is clear, sharp, and accurately reproduces skin tones with no shadows, printed on glossy or matte paper. The background should be plain white or off-white, and the subject must face the camera with a visible full face and neutral expression. Please refer to travel.state.gov for photo requirements. Example:

2. Please upload a clear image copy of your passport. Example:

Payment Type: Please note that your spot is not reserved until we receive your payment, whether by cash, card, or bank account.

I understand no refunds will be issued after October 1st, regardless of the payment method (cash, card, or bank account). Unfortunately, we cannot process any returns or provide reimbursements after this date.

I understand participants travel at their own risk and are advised to take appropriate travel insurance coverage to protect against any unforeseen circumstances.

I understand It is the responsibility of each participant to ensure that their passport is valid for at least six (6) months beyond the return date of travel. Failure to comply with this requirement may result in denial of entry into travel country.

By typing your name in the signature field of the registration form, you acknowledge and agree that this digital signature is legally binding and equivalent to a handwritten signature. The digital signature confirms your acceptance of these terms and conditions and your commitment to adhere to them throughout the trip.