Dear Parent/Guardian:
Please complete the following application form and accept the school terms and conditions to enrol your child:

Student's Details

Child's Full Name:
Child's Date of Birth:

Address:
PostCode:

Parents/Guadrians Details

Guardian 1
Full name:
Phone Number:
Email:

Guardian 2
Full Name:
Phone Number:
Email:

Other Details

What is your home language? —Please choose an option—EnglishArabicUrduOther

If other, please specify:

Has your child previously attended Arabic and Islamic studies Classes? —Please choose an option—YesNo

If yes, please state where and the level attained:

Do any of your other children attend these classes? —Please choose an option—YesNo

If yes, please give their details; name and date of birth:

Does your child suffer from any allergies, illnesses, disabilities, etc.? —Please choose an option—YesNo

if yes, please give full details:

Are there any other matters you think we should know about in the interest of your child’s welfare and safety while at Al-arqam Arabic School? —Please choose an option—YesNo

If yes, please give full details:

Consent

I confirm that I, the Guardian of the named child, have read and understood the terms and conditions relating to the Arabic and Islamic Studies Classes for children and agreed to abide by them.

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