YB3 - Saturday 2024 to 2025

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Registration Form

Student Full Name *

Date of Birth e.g. 1/4/2003 *

Primary class as of August 2024 *

Primary 5

Primary 6

Required

Parent/Guardian Full Name *

Parent/Guardian Contact Number *

Name of Class attended by Parent *

Emergency Contact Name and Number *

Any important medical information and/or allergies? *

Yes (please complete a separate form)

Additional support needs? *

Yes (please complete a separate form)

PARENT CONSENT FOR MEDICAL TREATMENT. I hereby consent to my child receiving medical treatment in the event of an emergency. *

Yes

Required

I agree for my child to be photographed for use on the Al-Meezan website, social media and publications. *

Yes

Required

Click Submit and on the next page click the fee link to pay the class fee.

Submit

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