2024 Lifesavers Registration Form Your DetailsName(Required) DrMrMrsMsMissProf Prefix First Last Email(Required) Post Code(Required)Phone(Required)Mosque DetailsDetails on which mosque you'll be attending.State(Required) ACT NSW NT QLD SA TAS VIC WA City(Required) Brisbane Townsville Mackay Rockhampton Sunshine Coast City(Required) Sydney Newcastle Riverina City(Required) Melbourne Gender(Required) Male Female Newcastle Mosques(Required)Masjid Mohammed Mustafa (Rutherford Mosque) | Sat 28 Sep 2024 |1pm - 3pmSultan Fatih Mosque (Mayfield Mosque) | Sat 28 Sep 2024 |1pm - 3pmNewcastle Mosque (Wallsend Mosque) | Sat 28 Sep 2024 |1pm - 3pmRiverina Mosques(Required)No resultsSydney Mosques(Required)Australian Islamic House (Edmondson Park) | Sat 28 Sep 2024 | 12:30 pmVIC Mosques(Required)Al-Taqwa Mosque (Truganina) | Sat 28 Sep 2024 | 12 pm - 1:30pmTownsville Mosques(Required)Townsville Mosque | Sat 28 Sep 2024 | Time: TBCBrisbane Mosques(Required)Holland Park Mosque | Sat 28 Sep 2024 | Time: TBCRockhampton Mosques(Required)No resultsSunshine Coast Mosques(Required)No resultsMackay Mosques(Required)No resultsACT Mosques(Required)Gungahlin Mosque | Sat 28 Sep 2024 | Time: After Maghreb PrayerNT Mosques(Required)No resultsSA Mosques(Required)Masjid Maryam | Sat 28 Sep 2024 | Time: TBCWA Mosques(Required)No resultsTAS Mosques(Required)Masjid Launceston | Sat 28 Sep 2024 | Time: TBCMy mosque isn't here My mosque isn't here Registration DetailsHow many Adults are you registering for?(Required)12345How many Children are you registering for? (under 18years old)(Required)012345How did you hear about AIMA Lifesavers?(Required) Facebook Instagram WhatsApp Email Friend/Family Other Media Consent I give consent for photos and videos to be taken of me during this event and used by the Australian Islamic Medical Association (AIMA) for promotional purposes or any other need.AIMA Lifesavers program(Required) I understand that the AIMA Lifesavers program is not an accredited courseFor any information please email newcastle@aima.org.auExpression of InterestCan't find your mosque on the list? Express your interest, and if there's enough demand, we may be able to organise a session at your mosque. We'll reach out to you if your mosque becomes a participating location.Mosque Name(Required) Mosque Postcode(Required)CAPTCHAEmailThis field is for validation purposes and should be left unchanged.