Register

Child’s full name *

Child’s full name in Arabic

Date of birth *

Gender *

Male Female

Parent or carer name *

Mobile number *

Email address *

Home address *

Country of origin

Who else may collect your child? *

We only release a child to an adult you have named.

Their relationship to the child *

Their contact number *

Collection password *

A word this adult gives us at the door. We store it scrambled and nobody at the school can read it back.

Emergency contact *

A name and number for someone we can reach if we cannot reach you.

Known allergies *

Write “none” if there are none.

Current medication *

Write “none” if there is none.

Dietary requirements

Doctor’s name and surgery

May we seek medical advice in an emergency? *

Yes No

Class *

Classes your child is the right age for.

Choose a classScience (ages 4–6)Hifz Group A (ages 7–9)Hifz Group B (ages 10–12)Year 3 Arabic (ages 7–8)Year 5 Arabic (ages 9–11)Adults Beginner (ages 16–65)

Session Please chooseHalf day (10:00–12:30)Full day (10:00–14:00)

Clubs

Optional. Clubs are charged separately.

Qur’an Recitation Club Arabic Calligraphy Club Sports and Games Club

How would you like to pay? *

Each term The full year

Starting term Please chooseAutumn termSpring termSummer term

Photos of your child may be displayed inside the school *

Yes No

Photos of your child may be used in our publicity *

Yes No

Staff may give prescribed medication you have provided *

Yes No

Your child may join supervised trips off the premises *

Yes No

Your child may use school computers with supervision *

Yes No

Anything we should know to support your child?

How did you hear about us?