Quran Class Annual Registration Form 2020

Existing Students:
Due to the current ongoing pandemic & following the government guidelines, we are not allowed to return to our indoor classes at Al-Meezan. Classes will continue on ZOOM until further notice.

New Students:
Registration will take place from 15th September 2020. Please note once Al-Meezan re-opens classes will return to being held on site.

Please pay the term fee https://www.almeezan.co.uk/quranclasstermfees before submitting the registration form.

If you experience any technical difficulities in completing this registration form please contact Saira 07780 361901.
Student Full Name *
Date of Birth e.g. 1/4/2003 *
Current class at school? *
Full Address *
Parent/Guardian Full Name *
Parent/Guardian Contact Number *
Parent Email Address *
Emergency Contact Name and Number *
Name of Doctor *
Doctor Address & Phone Number *
Any important medical and/or allergies to any foods? *
Additional support needs?
PARENT CONSENT FOR MEDICAL TREATMENT. I hereby consent to my child recieving medical treatment, if the staff or doctor thinks it is necessary in the event of an emergancy, if contact or parent can not be reached. *
Required
CONSENT: I agree to be photographed during class/events for use on the Al-Meezan website, social media and in publications for the duration of my attendance of the course. *
Required
Provide the payee name as it appears on Paypal or Bank account. (This assits our admin team greatly.) *
Any additional comments for the admin team e.g. paying from someone elses account, paying on behalf of another student etc
Submit
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