Imam Ali (AS) Madrassah Sign Up Form

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To enrol your child we need to collect details about them and you.

Email *

Child's Name *

Child's Date of Birth *

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Does the child have any health issues or allergies? *

Parent or Guardian name *

Parent or Guardian Contact number *

GDPR Note: The data you have supplied will only be shared with staff of the IAC so that they can provide safe and effective education to your child. By signing this form, you give your permission for us to store this data safely. *

Please write your name to confirm that you agree to the GDPR terms

A copy of your responses will be emailed to the address you provided.

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