Taiyabah Masjid Madrasah 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:
SELECT ↵
Parent
Sibling
Emergency
Other
*Your email:
*Confirm email:
Telephone:
*Mobile:
*Address:
*Postcode:
Students
Child #
1
:
Surname:
D.O.B:
Gender:
SELECT ↵
Male
Female
Email:
Enroll:
Boys Nazra
Girls Nazra
Girls Alimah
Foundation Class
Ladies Alimah class
Ladies Naazirah class
Hifz Boys
Hifz Girls
Add medical info/notes
Medical Conditions
General Notes
500
remaining
EHA or EHCP?
(required)
Does the student have an Early Help Assessment or Early Help Car Plan open?
Madrasah Attended?
(required)
Previous Madrasah Attended (if any)
School Attendance?
(required)
Which School the student is attending?
School Year
(required)
School Year
SEND
(required)
Does the student have Special Educational Needs and Disabilities (SEND)
Ethnicity
(required)
What is the ethnic group of the student?
Add Another Child
Contacts
You are the primary contact. You can add more contacts below.
Additional Contact #
1
Contact Name:
Email:
Tel.:
Mobile:
Alt. Mob.:
Relation:
Type:
SELECT ↵
Parent
Sibling
Emergency
Other
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.
Add Another Contact
I consent that IBEUK can process this form and submit directly to Taiyabah Masjid Madrasah. Your data will not be stored nor used by us.
Submit Application