Student Registration Form

Please fill out the details below to add your child(ren) to our waiting list. We will contact you as soon as possible.

* denotes required field

*Your name: (Parent/Guardian)

*Surname:

*Relation to student: Autofill: Father Mother Brother Sister

Type:

*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:

Email:

*Enroll:

Twice a week (Tue & Sat). Tue 17:30-19:30. Sat 9:00-12:00.

Add medical info/notes

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

Current Online Class

Does your child currently attend any online Quran classes?

Yes

VRQA Approval

Do you have a VRQA approval for homeschooling (Full-time Hifz only)?

Yes

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:

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.

Al-Itqan Academy value your privacy and are committed to protecting your personal information. We collect your details for the purpose of processing your child(ren) registration and is used to contact you.

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.

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