Living Islam School application form 2019/2020 (Horsforth branch)
Child's full name *
Your answer
Parent's full name *
Your answer
Parent's email address *
Your answer
Father 's Mobile number *
Your answer
Mother 's Mobile number *
Your answer
Child age *
Your answer
Child date of birth *
MM
/
DD
/
YYYY
Gender *
Does your child have siblings *
If yes, please list the names and the age of each of them
Your answer
Address *
Your answer
Does your child have any learning difficulties, disability or health problem? *
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 before *
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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