Maktab Registration

Full Name *

Age *

Gender *

Date of Birth *

Previous Islamic Education *

If yes, please provide details(Name, location, and contact number of institution)

Additional Info

Father’s Name *

Mother’s Name *

Address *

Email *

Father’s Phone Number *

Mother’s Phone Number *

Allergies/Medical Conditions *

Emergency Contact

Name *

Contact Number *

Relationship with Student(s) *

Agreement

I certify that the information on this form is complete and accurate. As parent/guardian of the child(ren) registered above, I release Baitul Aman Islamic Society and individuals, from liability in the event of personal injury or accident caused to the child(ren) while he/she is at any excursion or after the teaching hours. Students will not be permitted to leave early or arrive late without a written and signed note from the parent/guardian. I (we) agree to see that my enrolled child(ren) are punctually brought and picked up on time. I (we) agree to inform the management, in writing, of any changes in the mailing address or the contact number(s). I (we) agree to contact the Madrasa Principal (Sh. Rizwan Shariff) for any other queries or issues related to the madrasa. I/we have read, understood and will abide by the rules and regulations of the madrasa.

Tick all that apply

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