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We put this question to Shaykh Muhammad ibn Saalih al-‘Uthaymeen, may Allaah preserve him, and he answered as follows:
Have they agreed on a specific number?
Yes.
Then it is OK.
Question:
Even if he does not come for all twenty appointments, whether because he doesn’t get sick or he is lazy and doesn’t come for check-ups, so the five hundred riyals are gone?
Answer:
That means he has forfeited his right.
Question:
Yes, so if he gives up his right, for example, that’s OK?
Answer:
It is OK so long as what he has given up is a known amount. And Allâh knows best.