Registration

To register your child on to one of our courses please complete the online application form below, and we will try to get back to you as soon as possible. Alternatively please save and print the Downloadable PDF and hand it back to the academy once you have completed it.

Downloadable PDF Form (Right-click and Save As)

Online Children’s Registration Form

[Please complete all fields]

CHILD'S DETAILS

1. First Name (required):

2. Last Name (required):

3. Gender (required):
Boy Girl 

4. Date of Birth (required):

5. Please State Any Medical Conditions Your Child Has:

PARENT'S DETAILS

6. Father's Name:

7. Father's Contact Number:

8. Mother's Name:

9. Mother's Contact Number:

10. Email Address:

11. Address (required):

12. Postcode (required):

EMERGENCY CONTACT'S DETAILS

13. Contact's Name:

14. Relationship to Child, if Any:

15. Contact Number One:

16. Contact Number Two:

COURSE DETAILS

17. Class(es) You Wish to Register Your Child For (tick one of the following):
Qaa'idah and Qur'aan Reading Hifdh Class GCSE Arabic 

17a. If You Selected the Hifdh Class, How Many Juz Has Your Child Memorised?

18. All classes start at 5:00 pm and end at 7:00 pm:

Please note that places are subject to availability, and priority is given to siblings.

RULES AND REGULATIONS

19. Please Tick to Confirm You Agree to the Rules and Regulations of Ajwah Academy:

20. Additional Comments: