Admissions

Please Note: By filling in this form, a place is not guaranteed. We will contact you approx late June / Early July.

Child's First Name(s)*

Surname*

Gender*

Date Of Birth*

Session Applied:*

1st Session (4.25pm – 6.00pm)
2nd Session (6.10pm – 7.50pm)

Please upload a copy of your child's birth certificate*

Accepted file types: jpg, gif, png, pdf, Max. file size: 25 MB.

Failure to attach a copy of your child's birth certificate will result in your child's application being rejected.

Does your child have a sibling already in this Madrasah?*

Yes
No

Sibling Details

Name of Sibling already at Madrasah*

Level*

Session*

Parent / Gaurdian Details

Father's Full Name*

Mother's Full Name*

Address*

Street Address Postcode

Tel (Home)*

Mobile- Father*

Mobile - Mother*

Email-Father*

Enter Email Confirm Email

Email-Mother*

Enter Email Confirm Email

School Details

Does your child attend School?*

Yes
No

Name of School*

In school, what year is your child in?*

Current Madrasah Details

Only fill in this section if this child is currently attending a Madrasa or other similar establishment:

Is your child currently attending Madrasah?*

This child is an absolute beginner (never been to a Madrasah).
This child is currently attending another Madrasah.

Name of Current Madrasah*

Level at current Madarasah*

Qur'anic Studies.*

My child is currently doing Ahsanul Qawaid or equivalent.
My child is reciting from the Qur'an

No. of pages completed in Ahsanul Qawaid or equivalent:*

No. of Siparas completed in the Qur'an:*

Why is your child leaving his/her current Madrasa?*

Anything else you think we may need to know:

Approx. length of stay in current establishment*

Medical / Welfare

Any disability or medical condition?*

Is there a disability / allergy / serious condition / learning difficulty which we need to know? You must provide this information for us to help your child progress. Please give FULL details. If NONE, then please state NONE. Please also refer to the guidelines that you will have received with this form.

This child is involved with Social Services.*

Yes
No

This child is statemented (SEN).*

Yes
No

This child attends speech therapy or has attended in the past.*

Yes
No

Madrasah Absence Policy – Confirmation

Madrasah Absence Policy – Confirmation*

I hereby acknowledge that I have read and understood the Madrasah Absence Policy (Link below).

Madrasah Absence Policy

Absence Policy*

I hereby acknowledge that certain absences are classified as “unauthorised” (as highlighted in the policy).

Absence Policy*

I understand that there is disciplinary action for all “unauthorised” absences (as highlighted in the policy), including payment of a fee when attending interventions.

Absence Policy*

I understand that I must notify the Madrasah via email regarding all absences.

Absence Policy*

I also understand that this is a five-day Madrasah, and that attendance on all five days is mandatory and there are no part-time options. If my child does not attend all five days, I understand that I will be advised to make alternative arrangements for Islamic Education.

Declaration:*

I have read the pre-admission guidelines, especially in respect to additional needs etc. I grant Al-Ansaar Welfare & Education permission to store personal details submitted on the form. I consent to Al-Ansaar Welfare & Education storing these details for all administrative purposes.

Yes

Todays Date:*

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Madrasah Pre-Admission Form

Sibling Details

Parent / Gaurdian Details

School Details

Current Madrasah Details

Medical / Welfare

Madrasah Absence Policy – Confirmation

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