Parent 1 Details

Parent 1 Details

Parent 2 Details (if none, Leave blank)

Parent 2 Details (if none, Leave blank)

Child Details 

Prior to Submitting the form, I give consent for my child to attend this Madrassa and fully participate in any activities if a place is given
 

I understand that the Madrassa has policies and procedures; and that there are expectations (Refer to the Website)
and obligations which my child and I agree to abide by

I give permission for a trained member of staff to seek any necessary emergency medical advice
and/or administer appropriate first aid if required. If such an event occurs, I understand that I will be
contacted immediately on the numbers provided.
 

I understand that all information will be kept private

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