Al Barakah Youth Club (classes 7-11)
--> If you have already registered, no further action is required.

Alhamdulillah, we will be launching the Al Barakah Youth Club from Saturday 22nd May 2021 inshaAllah. If you would like your son / daughter to join in the fun activities planned for our youth, please complete the form below. A separate form must be filled out for / on behalf of each student.

Please note that the Al Barakah Youth Club is currently only open to students attending Al Barakah School.

- When: Term-time Saturdays after Al Barakah School, 1.15 - 2.15pm. Starting from Saturday 22nd May 2021.

- Who: Initially open to all current Al Barakah School students in Classes 7-11. Please note sports and activities will be run separately for girls and boys.

- Where: Al Barakah School - Northwood School, Pinner Road, HA6 1QN.

- What: The programme will be on rotation. The first 8 weeks (Summer Term 2021) will be focusing on sports / activities.

- Cost: Alhamdulillah all costs will be covered this term so it will be free of charge for current Al Barakah School students. Lunch will be provided inshaAllah.

Sign in to Google to save your progress. Learn more
Email *
Full Name of Student *
Al Barakah School Class (please note the Al Barakah Youth Club is initially only open to current students in Classes 7-11) *
Date of Birth of Student *
MM
/
DD
/
YYYY
Complete Home Address (including postcode) *
Student Mobile Number (if applicable)
Emergency Contact 1 - Full Name, Contact Number, Relationship to Student (e.g. Mum, Dad, Uncle, Grandmother etc.) *
Emergency Contact 2 - Full Name, Contact Number, Relationship to Student (e.g. Mum, Dad, Uncle, Grandmother etc.) *
Does the student suffer from any allergies or medical conditions? Please give details, including severity of condition, as well as any medication taken that Al Barakah School may need to be made aware of.   *
Which activities are you / your child most interested in? *
Required
By ticking the box below, I give consent for my child to take part in the sports / activities organised by the Al Barakah Youth Club. *
Required
During your child's time at the Al Barakah Youth Club, photographs / films may occasionally be taken. These may be used for sharing and celebrating their achievements with the Al Barakah School community. Do you consent to photographs / films being taken of your child? *
Al Barakah School shall not be responsible for any personal injury, or loss or damage caused to personal property, in the course of your child attending the Al Barakah Youth Club; nothing in this disclaimer shall limit or exclude Al Barakah School's liability for personal injury resulting from Al Barakah School's negligence. By ticking the box below you: confirm, acknowledge and agree to abide by the terms herein; confirm that the information you have provided above is true; and consent to Al Barakah School holding and processing you / your child's data in a lawful and secure manner. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms