Darul Uloom Chicago Registration

Please fill the details to add your child(ren) to our waiting list. For more information, please contact us about this form.

* denotes required field

*Your name: (Parent/Guardian)

*Surname:

*Relation to child: Autofill: Father Mother Brother Sister

Type:

*Your email:

*Confirm email:

Telephone:

*Mobile:

*Address: *Postcode:

Students

Child #1:

Surname:

D.O.B:

Gender:

Email:

*Enroll:

Add medical info/notes

Parent's Name (if under 18)

Contacts

You are the primary contact. You can add more contacts below.

Additional Contact #1

Contact Name:

Email:

Tel.:

Mobile:

Alt. Mob.:

Relation:

Type:

Primary Contact? This means the contact will receive emails related to the child. The contact will also see the child on the parent portal to view progress and other information. If you select no here, this contact will not see the children on the parent portal.

I will abide by the following conditions for admission:

1. All the information I have provided in the Darul uloom Chicago Registration Form is true and correct to the best of my knowledge.

2. I will be responsible for any damage caused to DUC property by myself/ my child, and will compensate or replace the damage with equal value and quality.

3. I agree to follow and respect the DUC rules and regulations and explain them to my child who attends the Darul Uloom. I understand that I am responsible for disciplining my child in case of violation of any DUC rules, in conduct and/or academics. I understand that if any problem occurs, I will completely and fully accept the decision of DUC Administration.

4. I give DUC Administration the authority to take necessary decisions to ensure my child's safety and well being when in their care. I give my child permission to participate in all activities deemed appropriate by DUC.

5. I understand my child will be taken on field trips with my written consent.

6. I understand that the school will take any necessary action during an emergency situation.

7. I indemnify DUC from any legal liability whatsoever.

I consent that IBEUK can process this form and submit directly to Darul Uloom Chicago. Your data will not be stored nor used by us.