Student Details
First Name
Middle Name
Last Name
Date of Birth
Gender
Select Gender
Male
Female
School Year
Select School Year
Preschool
Reception
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Address
Postal Code
Parent 1 Details
This should be completed by a parent with Parental Responsibility for the student.
Parent's / Guardian 1 Name
Parent's / Guardian 1 Email
Parent's / Guardian 1 Phone
Parent's / Guardian 1 Relationship to child
Does Parent/Guardian 1 have Primary Parental Responsibility for the child?
Yes
No
Parent / Guardian 1: Would you like to be added to your child's class WhatsApp group? This will be a group through which you can communicate with other parents in your child's class.
Yes
No
Parent 2 / Second Contact Details
“Parent 1 will be receiving Madrasah emails, would parent 2 also like to receive Madrasah emails?
Yes
No
Contact 2 Name
Contact 2 Email
Contact 2 Phone
Contact 2 Relationship to Child
Does Contact 2 have Primary Parental Responsibility for the child?
Yes
No
Contact 2: Would you like to be added to your child's class WhatsApp group? This will be a group through which you can communicate with other parents in your child's class.
Yes
No
Student Medical and Allergy Information
Relevant medical information. Specifically, since we provide snacks for the children, please let us know of any allergies, severity of reaction and what to do in the event of an emergency?
Allergy information: Specifically, since we provide snacks for the children, please let us know of any allergies, severity of reaction and what to do in the event of an emergency?
The fees for 2020 are £100. How would you like to pay?
Cash
Bank Transfer
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