Madrassah Registration Form
Please fill the details to add your child(ren) to our waiting list.
* denotes required field
*Your name: (Parent/Guardian)
*Surname:
*Relation to student:
Autofill:
Father
Mother
Brother
Sister
Type:
SELECT ↵
Parent
Sibling
Emergency
Other
*Your email:
*Confirm email:
Parent Portal Password:
Confirm password:
If you already have an account and a password, you can skip this and leave it blank. Otherwise you should set your password now to login to the parent portal now.
Telephone:
*Mobile:
*Address:
*Postcode:
Students
Student #
1
:
Surname:
D.O.B:
Gender:
SELECT ↵
Male
Female
Email:
*Enroll:
--SELECT GROUP--
">
Pre-Quran (Tue, Thu, Sat)
Full-Time Hifz (Mon-Sat)
Part-Time Hifz (Tue, Wed, Thu, Sat)
Tajweed Bridging Program (Tue, Thu, Sat)
Quran Recitation (Tue, Thu, Sat)
3 days a week (Tue, Thu, Sat). Tue/Thu 17:30-19:30. Sat 9:00-12:00.
Add medical info/notes
Medical Conditions
General Notes
500
remaining
Previous Madrassah
Has your child attended any madrassah before? If yes, please specify.
Previous Hifz School
Has your child attended any Hifz school before? If yes, please specify.
Prev. Online Class
Has your child had any online Quran classes before?
Yes
No
Current Online Class
Does your child currently attend any online Quran classes?
Yes
No
VRQA Approval
Do you have a VRQA approval for homeschooling (Full-time Hifz only)?
Yes
No
Add Another Student
Contacts
You are the primary contact. You can add more contacts below.
Additional Contact #
1
Contact Name:
Email:
Tel.:
Parent Portal Password:
Confirm:
Mobile:
Alt. Mob.:
Relation:
Type:
SELECT ↵
Parent
Sibling
Emergency
Other
Primary Contact?
This means the contact will receive emails related to the student. The contact will also see the student on the parent portal to view progress and other information. If you select no here, this contact will not see the student on the parent portal.
Add Another Contact
I consent that IBEUK can process this form and submit directly to Al-Itqan Academy. Your data will not be stored nor used by us.
Please press the following buttons in order to confirm you're not a bot:
2
4
1
3
5
Restart
