Shah Jahan Madrasa Registration

Please fill the details to add your child(ren) to our waiting list. For more information, please contact us about this form.

* 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:

Our Weekday Madrasa runs Mon/Wed/Fri 4.45pm to 6.45pm

Add medical info/notes
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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 consent that IBEUK can process this form and submit directly to Shah Jahan Madrasa. Your data will not be stored nor used by us.