Journey to Jannah Class 2023

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Girls and boys class registration form

Student Full Name *

Student Date of Birth *

YYYY

Student Gender *

Male

Female

Student Mobile Number (this will be added to a class WhatsApp group) *

Parent/Guardian Full Name *

Parent/Guardian Contact Number (this will be added to a class WhatsApp group) *

Emergency Contact Name
*

Emergency Contact Phone Number
*

Any important dietary or medical information
*

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

Yes

Required

Submit

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This form was created inside of Edinburgh Central Mosque.