Greenbank Masjid (Easton Islami Darasgah) Registration

Please fill the details to add your child(ren) to our waiting list. We will contact you using the details provided once we've assessed the application.

* 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

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.

This form will be processed by IBEUK and submited directly to Greenbank Masjid (Easton Islami Darasgah). IBEUK will not intercept, store or use the information you provide.

Our privacy notice can be found here

I consent that IBEUK can process this form and submit directly to Greenbank Masjid (Easton Islami Darasgah). Your data will not be stored nor used by us.