Young Believers Registration Form 2020

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 resume via ZOOM on the weekend 19th/20th September 2020.

Registration will take place from 5th September 2020.
Please note these classes are only for existing Al-Meezan students, who were previously registered & were attending Al-Meezan prior.

If you experience any technical difficulities in completing this registration form please contact Saira 07780361901.
Student Full Name *
Date of Birth e.g. 1/4/2003 *
Provide the PayPal or Bank account holder's full name? (This assits our admin team greatly.) *
Which Young Believers class are you registering for? *
Pick the Day and Teacher? *
Current class at school? *
Full Address *
Parent/Guardian Full Name *
Parent/Guardian Contact Number *
Parent Email Address *
Course name that mum is attending? *
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. *
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. *
Any additional comments for the admin team e.g. paying from someone elses account, paying on behalf of another student etc
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy