Madrasah Application Form

Assalamu ‘alaykum WW and welcome to the Madrasah Ta‘limul Islam (Masjid Aisha) application form.

Please complete this form to add your child(ren) to our waiting list. If you have any questions or need help completing the form, please email info@masjidaisha.co.uk or send a WhatsApp/SMS message to the Madrasah on 07821 234883.

Please note that the Madrasah number is monitored only during term time and Madrasah hours.

* denotes required field

*Your name: (Parent/Guardian)

*Surname:

*Relation to student: Autofill: Father Mother Brother Sister

Type:

*Your email:

*Confirm email:

Parent Portal Password:

Confirm password:

If you already have an account and a password, you can skip this and leave it blank. Otherwise you should set your password now to login to the parent portal now.

Telephone:

*Mobile:

*Address: *Postcode:

Students

Student #1:

Surname:

D.O.B:

Gender:

Email:

Add medical info/notes

Contacts

You are the primary contact. You can add more contacts below.

Additional Contact #1

Contact Name:

Email:

Tel.:

Parent Portal Password:

Confirm:

Mobile:

Alt. Mob.:

Relation:

Type:

Primary Contact? This means the contact will receive emails related to the student. The contact will also see the student on the parent portal to view progress and other information. If you select no here, this contact will not see the student on the parent portal.

I consent that IBEUK can process this form and submit directly to Masjid Aisha (Madrasah Talimul Islam). Your data will not be stored nor used by us.

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Students

Contacts

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