Enrolment

Enrolment Application Form for Madrassah

Please complete this form and ensure you review our Rules and Fees page before submitting.

There is a non-refundable registration fee of £30 for each child which must be paid at the time of enrolment. This covers the cost of study materials (Coursebook and Qur'an/Qa'idah) and administration fee.

Contact

admin@thefountainmadrassah.com

Child's First Name*

Child's Surname*

Gender*

Male

Female

Date of Birth*

Address*

Home Telephone

Parent / Guardian Full Name*

Relationship to Student*

Address (If Different)

Mobile Telephone*

Email Address*

Has your child attended a previous Madrassah?*

Yes

Name of Previous Madrassah

Address of Madrassah

Period of Attendance

What did your child study?

Does your child have any disabilities, illnesses, allergies or any other medical conditions?*

Yes

If yes, please provide details

Does the child have a ‘Statement of Special Educational Needs’? *

Yes

If your child takes any medication, please specify below

What course do you wish to apply for?*

Evening Madrassah

Online Madrassah

On Site Hifdh

Online Hifdh

I declare that the information I have provided on the application form is true and accurate to the best of my knowledge. I declare that I have read all the rules and regulations of the Madrasah and agree to abide by them at all times. *

The Fountain Madrassah

admin@thefountainmadrassah.com

01274 735913

The Fountain School

109-111 New Cross Street

Bradford, West Yorkshire

BD5 8BP