Student Application Form

Child’s Details:
Full Name:_______________________________________________ Date of Birth:______________ Gender (Please Circle): M / F School Year Group:_____________ Address:_________________________________________________________________________________________________________________________________________________________________________________________________________________________
Additional Information Please list below any medical conditions we need to be aware of, e.g. Allergies, Asthma, Diabetes, etc. any Special Educational Needs

Parents/Guardians Details:
Full Name:_______________________________________________ Relationship to Child:_____________________ Address:_________________________________________________________________________________________________________________________________________________________________________________________________________________________ Mobile Number:_____________________ Email:___________________________

Emergency Contact Details

Emergency Contact 1 Name:____________________________ Relationship to Child:_______________ Phone Number:_____________________ Email:_________________________	Emergency Contact 2 Name:____________________________ Relationship to Child:_______________ Phone Number:_____________________ Email:_________________________

Madrasah Rules and Regulations

Class timings are 2pm - 4pm Saturdays and Sundays. Students must be at the Madrasah 10mins before class.

If there is a delay in collecting your child at home time, then the office must be informed on the number at the bottom of this page.

Regular attendance is essential. Repeated absences without legitimate reasoning, is unacceptable.

Uniform - Boys are to wear a White Jubbah and White Hat (Topi). Girls are to wear a Black Abaya with a Scarf.

Parents must not enter hall without prior permission.

Fees are to be paid at the beginning of every month.

All general rules apply at this Madrasah that would apply at any educational institute e.g. No Bullying, No Electronics, Valuables or Chewing Gum.

Parents are expected to take an active role in their child’s learning and development.

Declaration

I have read and understood the above. If offered a place at Study Spot, I agree to abide by all rules and regulations of the Madrasah, current and in future.

Signature:_____________________

Printed Name (in Capitals):__________________	Date:_____________

OFFICE USE ONLY

Application accepted by:
Date Received:
Date of Admission: