Madrasah Taleemul Islam Registration

Assalumalaykum WWB,

Dear Parents,

Please fill in the form below for a place for your child.

IMPORTANT:

We only have spaces available for Pray n Play session 2 (Session 1 is full)

For Reception Class - Your child must be born between 1st September 2017 and 31st August 2018.
For Pray and Play – your child must be born between 1st September 2018 and 31st August 2019.

*Session 2 - 6:10 pm to 7:10 pm*

IMPORTANT

Two student contacts are required
Please include details of any medical, SEN or speech issues
You will receive an email to confirm that your application has been received
A second email will be sent to confirm your child's place. This process could take up to 10 days
Filling in this form does not guarantee a place

JazakAllah
Admin

* 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:

Session 2 - 6:15 - 7:15 pm Your child must be born between 1st September 2018 and 31st August 2019.

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.

I/We declare that all the above information is accurate to my/our knowledge and that I/we will adhere to all Madrasah rules and regulations including (but not limited to) sending our child to Madrasah regularly and parking our car sensibly.

I consent that IBEUK can process this form and submit directly to Madrasah Taleemul Islam. Your data will not be stored nor used by us.