Jamia Khizra Masjid & Islamic Centre Registration

This application form is for parents to complete if you wish to enrol your child in the Madrassah. You only need to complete the form once and you can include all (new) children on a single form

Children are expected to attend Mon-Friday 5-7pm. We may withdraw your child's place at any time if you can't commit to this or absence becomes an issue. Madrassah holidays are normally on special Islamic days which will be announced by the Masjid.

The standard fee is £260 per child per year. This is paid quarterly in advance by Direct Debit (£65 every 3 months).

There is usually a waiting list for children to join Madrassah.

* 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:

Please select your preferred location above. Location offered will be at Masjid's discretion but we will look to try and accommodate where we possibly can inshAllah.

Add medical info/notes

Masjid Member Yes/No (required)

Are you a Member of the Masjid (paid annual fee)?

School (required)

School Year (required)

What School year is the child currently in (if Reception, enter 0)

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.

Dear Parents/ Guardians

JazakAllah for completing the application form. Once your application has been submitted and reviewed, we will be in contact with yourselves by middle of July and inform you in regards to the next procedure and with a date for induction day InshaAllah

Please note any students that turn 5 after the enrolment start date, will only be given a place subject to space availability.

Also note if your child isn’t granted a place for this academic year; the waiting list will be refreshed and you will need to re-apply for your child in April 2026

JazakAllah for your understanding and patience.

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