Living Islam Academy Children application form 2019/2020 (LGM Branch)
Child's full name *
Your answer
Parent's full name *
Your answer
Parent's email address *
Your answer
Parent's Mobile number *
Your answer
Child age *
Your answer
Child date of birth *
MM
/
DD
/
YYYY
Gender *
Address *
Your answer
Does your child have any learning difficulties? *
If yes, please give more information
Your answer
Does your child have any allergies? *
If yes, please give more information
Your answer
Did your child attend Living Islam classes last year? *
What was his/her level?
Your answer
We may take photographs of the children at our school during some activities, please SEND us an email if you don't like your child to be photographed (Email: livingislamacademy@gmail.com
Your answer
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