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.

There is a minimum age of 5 years old for all admissions, Please only apply when your child reaches the age as they will not be considered before then

No students will be considered over the age of 10 years old unless discussed with the headteacher/ madrassa management before applying.

The standard fee is £260 per child per year. This is paid quarterly in advance by Direct Debit (£65 every 3 months). We no longer accept cash as a payment option

There is usually a waiting list for children to join Madrassah. Please be patient while admin staff process application

Please Note there is no discount on madrassa fees for masjid members

* 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)? Please Note there is no discount for madrassa fees for masjid members

Reading Arabic (required)

Can your child currently read arabic letters?

Previous Education (required)

Has the child studied with any other madrassa teacher prior to this application? Please provide details of the teacher, location. dates of teaching i.e Ustaad name - masjid name - date to date

Learning disability (required)

Does the child have any learning disabilities/difficulties? i.e Autism or any other disability?

Reason for joining (required)

Please tell us why you have chosen to apply for madrassa at Jamia Khizra Madrassa?

AGE (required)

No students will be considered for enrolment before the age of 5- Please confirm that the child is a minimum of 5 years old

Health (required)

Does the child have any longer term health problems? Asthma, epilepsy etc

Medications (required)

Does the child take any regular medications? i.e Asthma inhalers, allergy medications

Allergies (required)

Does the child have any allergies to food ingredients? Please give details

School (required)

What is the name of the school your child attends- please provide Name of school, Full address

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 2027

JazakAllah for your understanding and patience.

I consent that IBEUK can process this form and submit directly to Jamia Khizra Masjid & Islamic Centre. Your data will not be stored nor used by us.

Please press the following buttons in order to confirm you're not a bot: