Harlow Academy for Islamic Studies Registration

Harlow Islamic Centre. Parringdon Road, Harlow, Essex
CM19 4QX, UK

* 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:

Weekend Morning Class

Weekend Morning Class, Sat and Sun from 10.00 to 13:30
Weekdays Evening Class

Weekdays Evening Class, Tues to Thursday from 17:30 to 19:30

You can drag the Enrollment option choices up and down to re-order them in the order of your preference.

Add medical info/notes

Medical Conditions

Does your child have any medical conditions? If yes, please specify

Special Needs (required)

Has your child ever been identified as having any learning difficulties or special educational needs?

We have concerns but no formal assessment yet

Yes, formally diagnosed by a professional

No, not that we are aware of

IF YES,

If your child has learning difficulties or special educational needs, which area best describes their needs?

Difficulties with attention, focus or hyperactivity (e.g., ADHD)

Difficulties with social communication or interaction (e.g., autism spectrum)

Difficulties with reading, writing or spellings (e.g., dyslexia)

Difficulties with understanding or processing information (e.g., cognitive or learning delay)

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.

Any information relate to HAFIS, please contact 07918381307 or email: hafisacademy@gmail.com

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