Foundations to Alimiyyah 1448 - Individual Registration

First Name *

Last Name *

Email *

School Student Attends

Date of Birth

Address

Medical Conditions/Special Needs

Emergency Contact Information

Will your child be in year 7 or above in January 2026? *

Yes

No

Can your child read Arabic text? *

Yes

No

Does your daughter wear Hijab?

Yes

No

If no, will you be working with us to ensure she will be in due course? *

Yes

No

Ticking this box means you have read and accepted all the prerequisites required for students to be admitted into the program, and that you are happy to forego the registration fee if that is not found to be the case. *

Yes

Mother / Female Guardian Number *

Mother / Female Guardian Name *

Mother / Female Guardian Email *

Father / Male Guardian Number *

Father / Male Guardian Name *

Father / Male Guardian Email *

Allergies *

Amount

£

Payment Method *

Stripe Checkout Paypal

Credit Card Number*

Expiration Date*

/

Card (CVV) Code*

Card Holder Name*

Captcha*

Individual Registration

Payment Information