Join the Madrassah waiting list

This isn’t an offer of a place yet.

You’ll need your child’s date of birth, your address and the main contact’s details.

Your child

Names as they should appear on our register.

First name

Surname

Date of birth

Gender

BoyGirl

A brother or sister already attends the Madrassah

Previous madrasah (optional)

Where they have studied before, and what they covered.

Medical or additional needs (optional)

Anything our teachers should know to look after your child.

Main contact

The parent we contact about the application and, later, about classes. We need their mobile and email.

Who should we contact?

MotherFather

Mother

First name

Surname

Mobile (optional)

Email (optional)

Father

First name

Surname

Mobile (optional)

Email (optional)

Your address

Home phone (optional)

Address

Address line 2 (optional)

Town

Postcode

Another contact

Someone we can call if we can’t reach a parent.

Name (optional)

Relationship to the child (optional)

Mobile (optional)

How did you hear about us? (optional)

I understand the masjid will use these details to handle this application and contact you about a place, as set out in the privacy notice.

Your child is on the waiting list